Organization · Type 2 NPI

Van de Vyver Dental, P.c.

General Practice Dentistry · Shelby Township, MI

NPI number 1083003222 Active

Practice location

53620 Van Dyke Ave Ste 2
Shelby Township, MI 48316-1831

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	2901019702 (MI)

General Practice Dentistry: 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.

Another provider at this address

Shawn Thomas Van de Vyver, DDSDentist Shelby Township, MI NPI 1548309644

Other general practice dentistry providers in Shelby Township

See all in Shelby Township →

NPI record

NPI: 1083003222
Entity type: Organization (Type 2)
Issued: Jan 12, 2015
Last updated: Feb 19, 2020
Status: Active

Other names

<unavail>
Great Lakes Dentistry · doing business as
Great Lakes Dentistry · doing business as

Authorized official

Shawn Van de Vyver, DDS
President
(734) 320-8939

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083003222

Van de Vyver Dental, P.c.'s National Provider Identifier is 1083003222, issued on Jan 12, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shelby Township, MI. The record was last updated on Feb 19, 2020.