THE GENTLE DENTIST
NPI 1235747718
Clinic/Center - Dental in Shelby Township, MI

Active since July 21, 2020
15055 22 MILE RD STE 2, SHELBY TOWNSHIP, MI 48315(586) 247-3500 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2020, Aug 3, 2020, Jul 21, 2020 (3 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Dental

About THE GENTLE DENTIST

This page provides the complete NPI Profile along with additional information for The Gentle Dentist, a provider established in Shelby Township, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1235747718 assigned on July 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as The Gentle Dentist. The authorized official of this NPI record is Dr. Robert V Antolak Dds (Dentist)

NPI
1235747718 Verify this NPI
Provider Legal Name
THE GENTLE DENTIST
Other Organization Name
THE GENTLE DENTIST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15055 22 MILE RD STE 2 SHELBY TOWNSHIP, MI 48315
Location Phone
(586) 247-3500
Mailing Address
15055 22 MILE RD STE 2 SHELBY TOWNSHIP, MI 48315
Mailing Phone
(586) 247-3500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2020
Last Update Date
08-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT V ANTOLAK DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(586) 247-3500

Reviews for THE GENTLE DENTIST

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
15055 22 MILE RD STE 2
SHELBY TWP, MI 48315

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235747718, enumerated as an "organization" on July 21, 2020.

The provider is located at 15055 22 MILE RD STE 2 SHELBY TOWNSHIP, MI 48315 and the phone number is (586) 247-3500.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.