NPPES file of Aug 9, 2026

David R. Bolla, D.D.S.

General Practice Dentistry · Port Huron, MI

David R. Bolla, D.D.S. is a general practice dentistry with a practice address in Port Huron, Michigan, and NPI 1366658171, issued on May 16, 2007. Check the license (Michigan 012328, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366658171
Name
David R. Bolla
Credential
D.D.S.
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
012328 MI
Self-reported in NPPES; status is on the state search
Practice location
1125 Thomas Edison Dr, Port Huron, MI 48060
Phone
(810) 982-9821
Enumerated
May 16, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(810) 982-9645
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1125 Thomas Edison Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. James Cotter, D.D.S.General Practice Dentistry1528274339

Verify David R. Bolla in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 012328
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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David R. Bolla among 4,088 general practice dentistry records in Michigan

David R. Bolla, D.D.S. is one of 4,088 general practice dentistry records with a practice address in Michigan. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 37% of them.

  • NPI issued2007 · 37% of these records are older, 36% newer
  • In a Medicare fileNo · 61% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2007 · 74% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

22 general practice dentistry records list a practice address in Port Huron

They are 22 of the 1,657 NPPES records with a practice address in Port Huron, and 4,088 general practice dentistry records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Paulette Bass, D.D.S.Port Huron, MI 480601174565220
  2. Jill Brion, DDSPort Huron, MI 480601033269774
  3. Kevin Carolan, D.D.S.Port Huron, MI 480601184629453
  4. James Cotter, D.D.S.Port Huron, MI 480601528274339
  5. James Fraser, DDSPort Huron, MI 480601285793307
  6. Ralph Gillhooley, DDSPort Huron, MI 480601326198060
  7. Colleen Guilliat, D.D.S.Port Huron, MI 480601912067588
  8. Kris Overly, D.D.S.Port Huron, MI 480601144322660

Common questions

What is David R. Bolla, D.D.S.'s NPI number?

David R. Bolla, D.D.S.'s National Provider Identifier (NPI) is 1366658171, issued on May 16, 2007. An NPI identifies a provider in billing; it is not a license.

Where is David R. Bolla, D.D.S. located?

The NPPES record lists a practice address at 1125 Thomas Edison Dr, Port Huron, MI, 48060. Phone: (810) 982-9821. Providers update this record themselves, so call before visiting.

How can I verify David R. Bolla, D.D.S.'s license?

NPPES lists Michigan license number 012328, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.