NPI 1003191941

Great Lakes Family Dental Group Dexter, PC

Organisation General Practice Dentistry Dexter, MI

Practice location

Address: 3060 Baker Rd, Dexter, MI 48130-1140
Phone: (734) 426-4651

Authorised official

Name: Patricia J. Hart
Title: Corporate Manager
Phone: (810) 625-2860

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Michigan →

Registry record

NPI: 1003191941
Entity type: Organization
NPI issued: 11 Oct 2011
Record last updated: 11 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.