Healthcare Provider Details

I. General information

NPI: 1124007554
Provider Name (Legal Business Name): ARNOLD J KOLLIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 11/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42370 VAN DYKE AVE SUITE 101
STERLING HTS MI
48314-3487
US

IV. Provider business mailing address

42370 VAN DYKE AVE SUITE 101
STERLING HTS MI
48314-3487
US

V. Phone/Fax

Practice location:
  • Phone: 586-254-3860
  • Fax: 586-254-6575
Mailing address:
  • Phone: 586-254-3860
  • Fax: 586-254-6575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8324
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: