Grant K. Gillish D.D.S., P.L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020310 Issued in MI

Legal business name

GRANT K. GILLISH D.D.S., P.L.L.C.

Doing business as

White Lake Family Dentistry

Practice address

116 W Colby St Ste 1
Whitehall, MI 49461-1084

Phone

(231) 893-2915

Fax

(231) 893-4719

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant GillishNPI 1659681591

Title

Owner/Dentist

Phone

(231) 893-2915

Specialties & licenses 1

Addresses

Other names 1

• White Lake Family Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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.

• Grant Kurtis Gillish, D.D.S.

  • General Practice Dentistry
  • Whitehall, MI
  • NPI 1659681591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801319025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE 1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-893-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE 1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-893-2915",
            "fax_number": "231-893-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT K. GILLISH D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "GILLISH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "231-893-2915",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Lake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Gillan, PTA
• Grant Kurtis Gillish, D.D.S.
• Gina's North Shore Physical Therapy (Coastal Motion Physical Therapy)
• Jamie Gonder, M.S., CCC-SLP
• Thomas Marion Graff, D.O.
• Kainan Timothy Grant, PHARMD
• Kelly Grant
• Luke David Gray, PT, DPT
• Alison Lynn Green, LMSW
• Dave B Grubb

• Dentist in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.