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.
Organization
WILLOW CREEK DENTAL CLINIC, PC
Active
Organization
WILLOW CREEK DENTAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK FALVO DDS (PRESIDENT)
(734) 981-5455
Entity
Organization
Contact information
Practice address
5970 N LILLEY RD, CANTON, MI 48187-3625
(734) 981-5455
(734) 981-0370
Mailing address
5970 N LILLEY RD, CANTON, MI 48187-3625
(734) 981-5455
(734) 981-0370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4044756
—
MI
05
—
4045655
—
MI
05
—
4648480
—
MI
05
—
4784419
—
MI
05
—
4876118
—
MI
01
—
972811
UCCI
MI
01
—
D8014557
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/11/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up