Healthcare Provider Details

I. General information

NPI: 1467382267
Provider Name (Legal Business Name): VASJOLA BEKOLLI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2554 TAYLOR DR
TROY MI
48083-6907
US

IV. Provider business mailing address

2554 TAYLOR DR
TROY MI
48083-6907
US

V. Phone/Fax

Practice location:
  • Phone: 248-635-8492
  • Fax:
Mailing address:
  • Phone: 248-635-8492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603091
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: