is a Periodontology Clinic in Grandville, Michigan. It is located at 3145 Prairie St Sw, Suite 104, Grandville, MI and its contact number is 616-531-1920. The authorized person for is Brian Lee Cilla
who is Owner President of the clinic and their contact number is 616-531-1920. The primary license number for is 290104700 (Periodontics) in Michigan. Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Periodontology
Clinic Address:
3145 Prairie St Sw, Suite 104, Grandville, Michigan, 49418
Phone:
616-531-1920
Fax:
616-531-4275
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Brian Lee Cilla
Position:
Owner President
Contact Number:
616-531-1920
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1669630489
NPI Enumeration Date:
29 May, 2008
NPI Last Update On:
29 May, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Periodontics
290104700
Michigan
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3145 Prairie St Sw, Suite 104 Grandville, Michigan
Zip:
49418
Phone Number:
616-531-1920
Fax Number:
616-531-4275
Patients can reach at 3145 Prairie St Sw, Suite 104, Grandville, Michigan or can call to book an appointment on 616-531-1920. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.