Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720127384 Individual Practitioner Male Practitioner

Dr. John P. Ilitch , DDS

Dentist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Dr. John Ilitch, DDS is a registered healthcare professional specializing in Dentist in Detroit, MI. Practice services are available at 15311 W MCNICHOLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15311 W Mcnichols Rd

Detroit, MI 482353723

Telephone 3138380490
Fax 2485393347
Associated Practice Facility / Clinic
🏢 Dental Care Management, Inc. Facility NPI 1528139540

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
194 Specialists

Practicing in Detroit, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 14256

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
14256 (MI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 15311 W MCNICHOLS RD, DETROIT, MI 482353723 (Tel: 3138380490)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17770 STONEBROOK DR, NORTHVILLE, MI 481684329 (Tel: 3138380490)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN ILITCH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14256 in MI)

🟢
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720127384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

17770 Stonebrook Dr

Northville, MI 481684329

Phone: 3138380490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.