ROBERT VANCE ANTOLAK DDS
NPI 1104034222
Dentist - General Practice in Shelby Township, MI

Q: What is Robert Antolak's NPI number?

The NPI number for Robert Antolak is 1104034222. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Robert Antolak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Robert Antolak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2007

15055 22 MILE RD, SUITE #2, SHELBY TOWNSHIP, MI 48315(586) 247-3500(586) 247-1211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Vance Antolak Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT VANCE ANTOLAK DDS (NPI 1104034222) is an individual general practice provider in Shelby Township, Michigan, licensed in Michigan (14690) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104034222

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameROBERT VANCE ANTOLAKCredential: DDS

Location Address15055 22 MILE RD, SUITE #2Shelby Township, MI 48315-4401

Mailing Address15055 22 Mile Rd, Suite #2Shelby Township, MI 48315-4401 · (586) 247-3500 · Fax (586) 247-1211

Phone(586) 247-3500

Fax(586) 247-1211

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104034222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 14690

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15055 22 MILE RD, Shelby Township, MI 48315

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKOLAS DIMOVSKI MD

Family Medicine

15055 22 MILE RD, SUITE 3
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 566-7100

TRPKO DIMOVSKI MD

Family Medicine

15055 22 MILE RD, SUITE 3
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 566-7100

JEF GETZINGER MD

Family Medicine

15055 22 MILE RD, SUITE 3
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 566-7100

KAREN L BEASLEY MD

Family Medicine

15055 22 MILE RD, SUITE 3
SHELBY TOWNSHIP, MI 48315

Macomb County (586) 588-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Antolak's NPI number?

The NPI number for Robert Antolak is 1104034222. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Robert Antolak located?

Robert Antolak practices at 15055 22 Mile Rd Suite #2, Shelby Township, MI 48315. The listed phone number is (586) 247-3500.

What is Robert Antolak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Robert Antolak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.