DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE MICHIGAN DENTAL PC

Active Organization

LAKE MICHIGAN DENTAL PC is a Dentist organization located in GRAND RAPIDS, Michigan. NPI 1164548640 is currently active in the NPPES registry. Verify at CMS.

Dentist · GRAND RAPIDS, MI

Registration Details

NPI Number
1164548640
Provider Type
Organization
NPI Issued
Mar 22, 2007 (19.38817695096 yrs)
Last Updated
Mar 26, 2012

Practice Information

Address
2150 LAKE MICHIGAN DRIVE NW
GRAND RAPIDS, MI, 495044798
Browse MI providers · Browse ZIP 49504
Phone
6164538211
Fax
6164533277
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.