MEDICARE: VASJOLA BEKOLLI DDS

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	1223G0001X	General Practice Dentistry	2901603091	MI

General Provider Information

NPI Number	:	1467382267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VASJOLA BEKOLLI DDS

Provider Business Mailing Address
First Line	:	2554 TAYLOR DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-6907
Country	:	US
Telephone Number	:	248-635-8492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2554 TAYLOR DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-6907
Country	:	US
Telephone Number	:	248-635-8492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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