Michael John Vilag, D.D.S.
Individual provider Active NPI Dentist · Grosse Ile, MI
NPI 1174965339 · NPPES record last updated Jan 11, 2020
Key facts
- NPI
- 1174965339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901021030 (MI)
- Practice address
- 24201 Meridian Rd
Grosse Ile, MI 48138-2134 - Phone
- (734) 692-0102
- Fax
- (734) 692-1541
- NPI assigned
- Jul 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021030 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Vilag DDS PC | Current |
Accepting new patients | |
| Birchtree Dental Center | Past | Accepting new patients | |
| Beverly T Morris DDS PC | Past |
Accepting new patients |
Locations
24201 Meridian Rd
Grosse Ile, MI 48138
Phone (734) 301-3240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021030 | MI | Yes |
Addresses
Primary practice location
24201 Meridian Rd
Grosse Ile, MI 48138-2134
Mailing address
24201 Meridian Rd
Grosse Ile, MI 48138-2134
Phone (734) 692-0102
Other providers in Grosse Ile, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.