Dr Anass Koleilat, DDS,MS | |
32316 5 Mile Rd, Livonia, MI 48154-6109 | |
(734) 523-8300 | |
Not Available |
Full Name | Dr Anass Koleilat |
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Gender | Male |
Speciality | Dentist - Periodontics |
Location | 32316 5 Mile Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245907070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901601126 (Michigan) | Secondary |
1223P0300X | Dentist - Periodontics | 2901601126 (Michigan) | Primary |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Dr Anass Koleilat, DDS,MS 120 Meyer Rd Apt 622, Amherst, NY 14226-1015 Ph: (716) 544-6161 | Dr Anass Koleilat, DDS,MS 32316 5 Mile Rd, Livonia, MI 48154-6109 Ph: (734) 523-8300 |
Dr. Andrei Dan Taut, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 33627 7 Mile Rd, Livonia, MI 48152 Phone: 248-471-1555 | |
Josephine Finazzo, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19850 Middlebelt Rd, Livonia, MI 48152 Phone: 248-442-8885 Fax: 248-442-7727 | |
Xinlei Miller, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9134 Middlebelt Rd, Livonia, MI 48150 Phone: 734-261-1920 | |
Martha P Zinderman, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 31620 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-261-7800 Fax: 734-261-8484 | |
Mr. Matthew Anthony Giaimo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 34441 8-mile Road, Suite 101, Livonia, MI 48152 Phone: 248-474-0442 Fax: 248-474-0405 | |
Dr. Kenneth J Mydlowski, DDS Dentist Medicare: Medicare Enrolled Practice Location: 31215 Five Mile Rd, Livonia, MI 48154 Phone: 734-425-1070 Fax: 734-425-1907 | |
Dr. Jeffrey H Forrest, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10535 Farmington Road, Livonia, MI 48100 Phone: 734-525-7616 Fax: 734-525-3515 |