Look up the most recent NPI and PECOS records

Gill Dental Pc

Dentist

Dental Providers

3201 E Grand River Ave, Lansing, MI 48912-4749

PECOS Enrollment

Based on the most recent information from CMS, provider Gill Dental Pc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1730582412
Provider Type
Organization
Full Name
Gill Dental Pc

Subpart
No
Enumeration Date
10/8/2014
Last Updated
10/8/2014

Contact Information

Practice Location

3201 E Grand River Ave, Lansing, MI 48912-4749

(517) 333-3339

(517) 333-1734

Mailing Location

PO Box 3189, Syracuse, NY 13220-3189

(866) 273-8204

(866) 803-4943

Authorized Official

Bertollini, Jason (Prs)

(866) 273-8204

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License Unlisted Issuer

Gill Dental Pc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Hwang, Gyu

Pogoncheff, Carl M

Bdd Of Michigan P.C.

Vuillemot, Barbara A

Erhard, Robert W.

Pogoncheff, John Metodi

Holly Scott-Hetchler, Dds, Pc

Bdd Of Michigan P.C.

Orion Family Dental Center

Volunteers Of America Michigan