# GRANT K. GILLISH D.D.S., P.L.L.C.

> 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
- **Other names:** White Lake Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801319025
- **Authorized official:** DR. GRANT GILLISH (OWNER/DENTIST)
- **Authorized official phone:** (231) 893-2915

## Contact information

- **Practice address:** 116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
- **Practice address phone:** (231) 893-2915
- **Practice address fax:** (231) 893-4719
- **Mailing address:** 116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
- **Mailing address phone:** (231) 893-2915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901020310 | MI | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 07/21/2022