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Deactivated NPI 1407063704 Deactivated / Inactive NPI Male Practitioner

Dr. Everett Edward Cilla , DDS

Dentist • Grand Rapids, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Everett Cilla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2007
NPI Deactivation Date January 27, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Everett Cilla, DDS was a registered Dentist practicing in Grand Rapids, MI. Throughout an active medical career spanning 14 years, Dr. Cilla provided care at the practice location at 6809 CASCADE RD SE until profile deactivation on 2021-01-27.

Practice Location & Contact Primary Location

Practice Address

6809 Cascade Rd Se
F

Grand Rapids, MI 495466895

Telephone 6169429040
Fax 6169429190
Associated Practice Facility / Clinic
🏢 Dental Expressions Facility NPI 1932366275

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
125 Specialists

Practicing in Grand Rapids, 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 2901007627

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Robert Haack , DDS

Dentist - General Practice

NPI 1518946755

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 27, 2021

Record deactivated on January 27, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 6809 CASCADE RD SE, F, GRAND RAPIDS, MI 495466895 (Tel: 6169429040)

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Updated Business Mailing Address July 09, 2007

Registered at 6809 CASCADE RD SE, F, GRAND RAPIDS, MI 495466895 (Tel: 6169429040)

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Provider Name / Credentials Updated July 09, 2007

Recorded as EVERETT CILLA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2901007627 in MI)

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Initial NPI Registration & Enumeration May 17, 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: 1407063704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 09, 2007
Deactivation Date: January 27, 2021

Mailing Address

6809 Cascade Rd Se, F

Grand Rapids, MI 495466895

Phone: 6169429040

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.