Willow Creek Dental Clinic, Pc is a Dental Clinic in Canton, Michigan. It is located at 5970 N Lilley Rd, Canton, MI and its contact number is 734-981-5455. The authorized person for Willow Creek Dental Clinic, Pc is Dr. Jack Falvo
who is President of the clinic and their contact number is 734-981-5455. The primary license number for Willow Creek Dental Clinic, Pc is 11038 (General Practice) in Michigan. Willow Creek Dental Clinic, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Willow Creek Dental Clinic, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Willow Creek Dental Clinic, Pc
Specialization:
General Practice Dentistry
Clinic Address:
5970 N Lilley Rd, Canton, Michigan, 48187-3625
Phone:
734-981-5455
Fax:
734-981-0370
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:
Dr. Jack Falvo
Position:
President
Contact Number:
734-981-5455
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 Willow Creek Dental Clinic, Pc clinic are as mentioned below.
NPI Number:
1588675607
NPI Enumeration Date:
11 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willow Creek Dental Clinic, Pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
11038
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D8014557
Other
Michigan
Blue Cross Blue Shield
4045655
Medicaid
Michigan
4784419
Medicaid
Michigan
972811
Other
Michigan
Ucci
4648480
Medicaid
Michigan
4044756
Medicaid
Michigan
4876118
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Willow Creek Dental Clinic, Pc 5970 N Lilley Rd, Canton, Michigan
Zip:
48187-3625
Phone Number:
734-981-5455
Fax Number:
734-981-0370
Patients can reach Willow Creek Dental Clinic, Pc at 5970 N Lilley Rd, Canton, Michigan or can call to book an appointment on 734-981-5455. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.