GREAT LAKES FAMILY DENTAL GROUP DEXTER, PC (NPI# 1003191941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003191941 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES FAMILY DENTAL GROUP DEXTER, PC |
| Practice Address |
3060 Baker Rd Dexter MI 48130-1140 |
| Practice Telephone | 7344264651 |
| Mailing Telephone | 7344264651 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | PATRICIA J. HART (CORPORATE MANAGER) |
| Authorized Official Telephone | 8106252860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3060 BAKER RD |
| City | DEXTER |
| State | MI |
| Zip Code | 48130-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
| 1801448527 | Evan Corey Castile | Dentist | 3060 Baker Rd, Dexter, MI 48130-1140 | 2019-07-12 |
| 1972002327 | Sheryl Salutes | Dental Hygienist | 3060 Baker Rd, Dexter, MI 48130-1140 | 2018-02-12 |
| 1023302478 | Peter Wloszek | Dentist | 3060 Baker Rd, Dexter, MI 48130-1140 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
| 1255726592 | Alliance for Hope and Healing | Psychologist | 8005 Main St., Dexter, MI 48130 | 2015-04-03 |
| 1588979926 | Beata Malgorzata Jagoda-ohman | Physical Therapist | 7057 Dexter-ann Arbor Rd, Dexter, MI 48130 | 2010-08-10 |
| 1639317514 | Thrive Chiropractic Dexter P.C. | Preferred Provider Organization | 3219 Broad St, Suite 106, Dexter, MI 48130 | 2009-01-30 |
| 1083888622 | Alan Stephen Boyce | Chiropractor | 3151 Baker Rd, Dexter, MI 48130 | 2008-04-15 |
| 1720200785 | Brenda Denise Eisele | Speech-Language Pathologist | 3630 Noble Drive, Dexter, MI 48130 | 2007-05-02 |
| 1073647343 | Amy Alexandra Whitney | Pharmacist | 7080 Dexter- Ann Arbor Rd, Dexter, MI 48130 | 2007-03-16 |
| 1457481442 | John Douglas Higgins | Audiologist | 7900 W Huron River Dr, Dexter, MI 48130 | 2007-03-07 |
| 1235264425 | Boyce Dc Pllc | Chiropractor | 3151 Baker Road, Dexter, MI 48130 | 2007-02-21 |
| 1518029883 | Steven Robert Rodriguez | Dentist | 9477 North Territorial, Suite 130, Dexter, MI 48130 | 2006-12-14 |
| Find all providers in zip 48130 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557889 | Dexter Family Dentistry | Dentist | 7225 Dan Hoey Rd Ste 100, Dexter, MI 48130-9513 | 2020-04-23 |
| 1831401801 | William T Kane | Dentist | 913 W Bus Highway 60, Dexter, MO 63841-2704 | 2010-07-07 |
| 1972723823 | Fifth Street Dental, P.C. | Dentist | 8048 5th St, Dexter, MI 48130-1033 | 2007-04-25 |
| 1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
| 1063538759 | David Edward Traynor | Dentist | 9477 N Territorial Rd, Suite 130, Dexter, MI 48130-8583 | 2007-03-22 |
| 1538297957 | Harry Robert Parsons IIi | Dentist | 118 East Second Street, Dexter, NM 88230-0267 | 2007-02-28 |
| 1639215239 | Dennis Michael Marr | Dentist | 8048 Fifth Street, Dexter, MI 48130-0000 | 2007-01-30 |
| 1538214580 | Alyssa Cairo | Dentist | 7141 Dexter Pinckney Rd, Dexter, MI 48130-9608 | 2007-01-23 |
| 1578620951 | John David Simmons | Dentist | 1 W Grant St, Dexter, MO 63841-2039 | 2007-01-03 |
| 1518029883 | Steven Robert Rodriguez | Dentist | 9477 North Territorial, Suite 130, Dexter, MI 48130 | 2006-12-14 |
| Find all providers in DEXTER | ||||
Please comment or provide details below to improve the information on GREAT LAKES FAMILY DENTAL GROUP DEXTER, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.