GREAT LAKES DENTAL CARE P.C. (NPI# 1730238577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730238577 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES DENTAL CARE P.C. |
| Practice Address |
933 3 Mile Rd Nw Suite 204 Grand Rapids MI 49544-1673 |
| Mailing Address |
933 3 Mile Rd Nw Ste 204 Grand Rapids MI 49544-1673 |
| Practice Telephone | 6167846300 |
| Mailing Telephone | 6167846300 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | DR. DENNIS BRUCE WEBB (DENTIST) |
| Authorized Official Telephone | 6167846300 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2901019180 | MI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901011152 | MI | Dental Providers |
| Street Address |
933 3 MILE RD NW SUITE 204 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538494349 | American Current Care of Michigan, P.c | Clinic/Center | 933 3 Mile Rd Nw, Suite 110, Grand Rapids, MI 49544-1673 | 2009-10-13 |
| 1548481179 | Jill Marjorie Perry | Family Medicine | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 | 2007-05-01 |
| 1821116856 | Nan T Wernette | Preventive Medicine | 933 3 Mile Rd Nw, Suite 110, Grand Rapids, MI 49544-1673 | 2007-03-27 |
| 1013041193 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 933 3 Mile Rd Nw, Suite 110, Grand Rapids, MI 49544-1673 | 2007-03-14 |
| 1689756876 | Dennis Bruce Webb | Dentist | 933 3 Mile Rd Nw, Suite 204, Grand Rapids, MI 49544-1673 | 2006-10-19 |
| 1902988108 | Travis Wade Kragt | Dentist | 933 3 Mile Rd Nw, Suite 204, Grand Rapids, MI 49544-1673 | 2006-10-19 |
| 1821189895 | Nancy J Teunessen | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-09-27 |
| 1538267315 | Amy Marie Peck | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-09-20 |
| 1821109869 | James Paul Maclean | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-08-31 |
| 1528172822 | Laurie Ann Arnswald | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1265059570 | Samuel T. Bander, Dds, Plc | Dentist | 1151 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-8369 | 2020-07-02 |
| 1295360428 | Dj Edgerle, Dds, PC | Dentist | 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 | 2020-03-09 |
| 1639638265 | Mark E Peterson, Dds | Dentist | 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 | 2019-03-13 |
| 1811463730 | Ryan C. Van Haren, Dds Pllc | Dentist | 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 | 2018-10-18 |
| 1386138881 | Jayson Lynn Clore | Dentist | 334 68th St Sw, Grand Rapids, MI 49548-7179 | 2018-06-18 |
| 1154788230 | Kb Family Dentistry Plc | Dentist | 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 | 2016-01-21 |
| 1821471616 | Healthy Smile Plc | Dentist | 2021 44th St Sw, Grand Rapids, MI 49508 | 2015-06-30 |
| 1841694387 | Jerry B. Mulder Dds Plc | Dentist | 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 | 2014-10-13 |
| 1609277854 | Alexis Neuman | Dentist | 3930 Burton St Se, Grand Rapids, MI 49546-5819 | 2014-09-08 |
| 1124439476 | Bryton Mansfield | Dentist | 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 | 2014-05-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on GREAT LAKES DENTAL CARE P.C..
| 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.