# AESTHETIC DENTISTRY BY DIPILLA, P.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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972264919
- **Authorized official:** MS. JENNIFER KELLY AUSILIO (LICENSING AND CREDENTIALING ADMINIS)
- **Authorized official phone:** (586) 615-6865

## Contact information

- **Practice address:** 600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
- **Practice address phone:** (248) 646-0442
- **Practice address fax:** (248) 266-9319
- **Mailing address:** 600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
- **Mailing address phone:** (248) 646-0442
- **Mailing address fax:** (248) 266-9319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2022
- **Last updated:** 01/03/2022