Organization · Type 2 NPI
Great Lakes Dental Group PLLC
Periodontics · Royal Oak, MI
NPI number
1053199141
Active
Practice location
4251 Coolidge Hwy
Royal Oak, MI 48073-1639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
| Prosthodontics | 1223P0700X | None listed |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1053199141
Great Lakes Dental Group PLLC's National Provider Identifier is 1053199141, issued on Sep 19, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Royal Oak, MI. The record was last updated on Sep 19, 2023.