Provider Demographics
NPI:1922641646
Name:MICHELLE PILONES DDS INC.
Entity Type:Organization
Organization Name:MICHELLE PILONES DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ALESNA
Authorized Official - Last Name:PILONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-952-5544
Mailing Address - Street 1:2021 YGNACIO VALLEY RD STE C205
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3392
Mailing Address - Country:US
Mailing Address - Phone:925-952-5544
Mailing Address - Fax:925-952-5566
Practice Address - Street 1:2411 OCEAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-2618
Practice Address - Country:US
Practice Address - Phone:415-494-5695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental