# GENTLE DENTAL JOHN R PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013032960
- **Authorized official:** MIKE COLE (INSURANCE DIRECTOR)
- **Authorized official phone:** (727) 726-1611

## Contact information

- **Practice address:** 28780 JOHN R RD, MADISON HEIGHTS, MI 48071-2800
- **Practice address phone:** (248) 547-7800
- **Mailing address:** 28780 JOHN R RD, MADISON HEIGHTS, MI 48071-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 10/19/2007