Brian Cilla DDS Ms PC
Organization Active NPI Periodontics · Grandville, MI
NPI 1669630489 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1669630489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Periodontics 1223P0300X
- License
- 290104700 (MI)
- Legal business name
- BRIAN CILLA DDS MS PC
- Practice address
- 3145 Prairie St SW
Suite 104
Grandville, MI 49418 - Phone
- (616) 531-1920
- Fax
- (616) 531-4275
- NPI assigned
- May 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Brian Lee Cilla, DDS MS
- Title
- Owner President
- Phone
- (616) 531-1920
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Brian Cilla DDS Ms PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics |
1223P0300X | 290104700 | MI | Yes |
Addresses
Primary practice location
3145 Prairie St SW
Suite 104
Grandville, MI 49418
Mailing address
3145 Prairie St SW
Suite 104
Grandville, MI 49418
Phone (616) 531-1920
Other names
- West Michigan Periodontics & Advanced Implant Dentistry
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. 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.