NPIMap

Organization Active NPI

The Gentle Dentist

  • Dental Clinic/Center
  • Shelby Township, MI
National Provider Identifier
1235747718
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE GENTLE DENTIST
Doing business as
The Gentle Dentist
Practice address
15055 22 Mile Rd Ste 2
Shelby Township, MI 48315-4401
Phone
(586) 247-3500
NPI assigned
Jul 21, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert V Antolak, DDSNPI 1104034222
Title
Dentist
Phone
(586) 247-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15055 22 Mile Rd Ste 2
Shelby Township, MI 48315-4401

Mailing address

15055 22 Mile Rd Ste 2
Shelby Township, MI 48315-4401
Phone (586) 247-3500

Other names 1

  • The Gentle Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

15055 22 Mile Rd
Ste 2
Shelby Township, MI 48315
Phone (586) 247-3500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1235747718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 22 MILE RD STE 2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154401",
            "telephone_number": "586-247-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 22 MILE RD STE 2",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154401",
            "telephone_number": "586-247-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENTLE DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "ANTOLAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-247-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gentle Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Gentle Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.