DR. DAVID R BOLLA D.D.S.
NPI 1366658171
Dentist - General Practice in Port Huron, MI

Q: What is David Bolla's NPI number?

The NPI number for David Bolla is 1366658171. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is David Bolla'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 David Bolla 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 16, 2007

1125 THOMAS EDISON DR, PORT HURON, MI 48060(810) 982-9821(810) 982-9645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. David R Bolla D.d.s. NPPES

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

DR. DAVID R BOLLA D.D.S. (NPI 1366658171) is an individual general practice provider in Port Huron, Michigan, licensed in Michigan (012328) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366658171

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAVID R BOLLACredential: D.D.S.

Location Address1125 THOMAS EDISON DRPort Huron, MI 48060-8500

Mailing Address1125 Thomas Edison DrPort Huron, MI 48060-8500 · (810) 982-9821 · Fax (810) 982-9645

Phone(810) 982-9821

Fax(810) 982-9645

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366658171 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 · 012328

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.

1125 THOMAS EDISON DR, Port Huron, MI 48060

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

DR. JAMES P COTTER D.D.S.

Dentist (General Practice)

1125 THOMAS EDISON DR
PORT HURON, MI 48060

St. Clair County (810) 982-9821

COTTER & EASTON GENERAL DENTISTRY, PLLC

Dentist (General Practice)

1125 THOMAS EDISON DR
PORT HURON, MI 48060

St. Clair County (810) 982-9821

BOLLA, COTTER & ASSOC., P.C.

Dentist (General Practice)

1125 THOMAS EDISON DR
PORT HURON, MI 48060

St. Clair County (810) 982-9821

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 David Bolla's NPI number?

The NPI number for David Bolla is 1366658171. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is David Bolla located?

David Bolla practices at 1125 Thomas Edison Dr, Port Huron, MI 48060. The listed phone number is (810) 982-9821.

What is David Bolla'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 David Bolla 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.