Healthcare Provider Details

I. General information

NPI: 1518003292
Provider Name (Legal Business Name): JILL A ROWLAND DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N MAIN ST
ALMONT MI
48003-8553
US

IV. Provider business mailing address

13820 HORSESHOE DR APT 1
STERLING HEIGHTS MI
48313-2031
US

V. Phone/Fax

Practice location:
  • Phone: 810-641-1882
  • Fax:
Mailing address:
  • Phone: 716-512-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number050909-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number29548
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901600788
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: