PORTABLE DENTAL SERVICES
NPI 1437483484
Dentist - General Practice in Shelby Twp, MI

Active since September 23, 2009
15055 22 MILE RD # 2, SHELBY TWP, MI 48315(586) 873-5567 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portable Dental Services NPPES

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

PORTABLE DENTAL SERVICES (NPI 1437483484) is a healthcare organization registered as a general practice in Shelby Twp, Michigan and active in the NPI registry since September 2009. The organization lists Robert Vance Antolak, President, as its authorized official.

NPPES Registry Identity

NPI1437483484
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePORTABLE DENTAL SERVICES
Location Address15055 22 MILE RD # 2Shelby Twp, MI 48315-4401
Mailing Address15055 22 Mile Rd # 2Shelby Twp, MI 48315-4401 · (586) 873-5567
Organization SubpartNo
Authorized OfficialRobert Vance AntolakPresident · (586) 873-5567
Enumeration DateSeptember 23, 2009
NPI 1437483484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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 # 2, Shelby Twp, MI 48315

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist
15055 22 MILE RD # 2
SHELBY TOWNSHIP, MI 48315

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 Portable Dental Services's NPI number?

The NPI number for Portable Dental Services is 1437483484. It was assigned to this organization in the NPPES registry on September 23, 2009.

Where is Portable Dental Services located?

Portable Dental Services is located at 15055 22 Mile Rd # 2, Shelby Twp, MI 48315. The listed phone number is (586) 873-5567.

What is Portable Dental Services'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 Portable Dental Services was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.