Doctor profile · Federal record
Dr. Robert Antolak, DDS
General Practice Dentistry · Shelby Township, MI
- NPI 1104034222
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15055 22 Mile RD, Suite #2
Shelby Township, MI 483154401
(586) 247-3500
fax (586) 247-1211
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Michigan #14690
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104034222. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $16.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
20
Total drug cost
$105
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 30 | 20 | $105 |
Frequently asked questions
What is Dr. Robert Antolak's medical specialty?
Dr. Robert Antolak practices General Practice Dentistry in Shelby Township, MI.
Where does Dr. Robert Antolak practice?
Dr. Robert Antolak practices at 15055 22 Mile RD, Shelby Township, MI 483154401. Office phone: 5862473500.
What is Dr. Robert Antolak's NPI?
Dr. Robert Antolak's National Provider Identifier (NPI) is 1104034222, issued by NPPES.