Provider Demographics
NPI:1407908353
Name:DENTAL HEALTH CARE
Entity Type:Organization
Organization Name:DENTAL HEALTH CARE
Other - Org Name:DR DENNIS T SPILLANE DR SHAWN SPILLANE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPILLANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-688-3047
Mailing Address - Street 1:6668 BERNIE KOHLER DR
Mailing Address - Street 2:DENTAL HEALTH CARE
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48461
Mailing Address - Country:US
Mailing Address - Phone:810-688-3047
Mailing Address - Fax:810-688-3109
Practice Address - Street 1:6668 BERNIE KOHLER DR
Practice Address - Street 2:DENTAL HEALTH CARE
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461
Practice Address - Country:US
Practice Address - Phone:810-688-3047
Practice Address - Fax:810-688-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901014144122300000X
MI2901013854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty