MEDICARE: GENTLE DENTAL SHELBY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1598880445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE DENTAL SHELBY PLLC

Provider Business Mailing Address
First Line	:	4737 24 MILE RD
Second Line	:	SUITE 1
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-3148
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4737 24 MILE RD
Second Line	:	SUITE 1
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-3148
Country	:	US
Telephone Number	:	248-651-0203
Fax Number	:

Authorized Official
Title or Position	:	INSURANCE DIRECTOR
Name	:	MIKE COLE
Credential	:
Telephone Number	:	727-726-1611

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	04/22/2010

Similar Medicare Providers

1396881124 — GEORGE STEC
Practice Location Address:

4737 24 MILE RD
SHELBY TOWNSHIP, MI
48316-3148

Practice Phone: 248-651-0203
Practice Fax:

1003098286 — DAVID J. KLIDA D.C., P.C.
Practice Location Address:

4737 24 MILE RD
SHELBY TOWNSHIP, MI
48316-3148

Practice Phone: 248-651-2225
Practice Fax:

1720262637 — BRIAN GOODWIN DPM PC
Practice Location Address:

4737 24 MILE RD , SUITE 2
SHELBY TOWNSHIP, MI
48316-3148

Practice Phone: 248-651-0008
Practice Fax: 248-651-6988

1649376922 — SUPAK SOOKKASIKON M.D.
Practice Location Address:

4050 W MAPLE RD , SUITE 101
BLOOMFIELD TOWNSHIP, MI
48301-3148

Practice Phone: 248-885-8211
Practice Fax: 248-885-8357

1609233113 — KAHN CENTER FOR CARDIAC LONGEVITY
Practice Location Address:

4050 W MAPLE RD , SUITE 108
BLOOMFIELD TOWNSHIP, MI
48301-3148

Practice Phone: 248-731-7412
Practice Fax:

1669359501 — SAMANTHA HELENA NEAMONITIS
Practice Location Address:

4050 W MAPLE RD
BLOOMFIELD TOWNSHIP, MI
48301-3148

Practice Phone: 248-480-4402
Practice Fax:

Directions to “GENTLE DENTAL SHELBY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.