Healthcare Provider Details

I. General information

NPI: 1659296895
Provider Name (Legal Business Name): ORAS POLA DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4297 ORCHARD LAKE RD STE 250
WEST BLOOMFIELD MI
48323-1602
US

IV. Provider business mailing address

4297 ORCHARD LAKE RD STE 250
WEST BLOOMFIELD MI
48323-1602
US

V. Phone/Fax

Practice location:
  • Phone: 248-383-5681
  • Fax: 248-747-5970
Mailing address:
  • Phone: 248-383-5681
  • Fax: 248-747-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ORAS POLA
Title or Position: DENTIST
Credential: DMD
Phone: 586-804-3512