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Active NPI 1366658171 Individual Practitioner Male Practitioner

Dr. David R Bolla , DDS

Dentist - General Practice • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Bolla, DDS is a registered healthcare professional specializing in Dentist - General Practice in Port Huron, MI. Practice services are available at 1125 THOMAS EDISON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1125 Thomas Edison Dr

Port Huron, MI 480608500

Telephone 8109829821
Fax 8109829645
Associated Practice Facility / Clinic
🏢 Bolla, Cotter & Assoc., P.c. Facility NPI 1841365624

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Port Huron, MI (4360 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 012328

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. James Cotter , DDS

Dentist - General Practice

NPI 1528274339

Doctor of Dental Surgery

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 1125 THOMAS EDISON DR, PORT HURON, MI 480608500 (Tel: 8109829821)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1125 THOMAS EDISON DR, PORT HURON, MI 480608500 (Tel: 8109829821)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID BOLLA, D.D.S.

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

Dentist (License #012328 in MI)

🟢
Initial NPI Registration & Enumeration May 16, 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: 1366658171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1125 Thomas Edison Dr

Port Huron, MI 480608500

Phone: 8109829821

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.