Organization · Type 2 NPI

East Lake Dental PLLC

General Practice Dentistry · South Lyon, MI

NPI number 1104401645 Active

Practice location

201 S Lafayette St
South Lyon, MI 48178-1405

Mailing address

3542 Oakshire Ave
Berkley, MI 48072-3411

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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.

4 other providers at this address

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About NPI 1104401645

East Lake Dental PLLC's National Provider Identifier is 1104401645, issued on Mar 16, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Lyon, MI. The record was last updated on Mar 16, 2021.