Organization · Type 2 NPI
Great Lakes Pediatric Dentistry PLLC
Pediatric Dentistry · Clawson, MI
NPI number
1235821620
Active
Practice location
701 S Main St
Clawson, MI 48017-2017
Mailing address
1221 Bowers St Unit 229
Birmingham, MI 48012-7117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1235821620
Great Lakes Pediatric Dentistry PLLC's National Provider Identifier is 1235821620, issued on May 23, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clawson, MI. The record was last updated on May 23, 2023.