Grand Lake Family Dentistry, Ltd. is a Dental Clinic in Celina, Ohio. It is located at 800 E Wayne St, Celina, OH and its contact number is 419-586-1615. The authorized person for Grand Lake Family Dentistry, Ltd. is Dr. Travis Duane Lutz
who is President of the clinic and their contact number is 419-586-1615. The primary license number for Grand Lake Family Dentistry, Ltd. is 30.020826 (Dentist) in Ohio.
Grand Lake Family Dentistry, Ltd. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Grand Lake Family Dentistry, Ltd. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grand Lake Family Dentistry, Ltd. |
| Specialization: | Dentistry |
| Clinic Address: | 800 E Wayne St, Celina,
Ohio, 45822-1359 |
| Phone: | 419-586-1615 |
| Fax: | 419-586-1616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Travis Duane Lutz |
| Position: | President |
| Contact Number: | 419-586-1615 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand Lake Family Dentistry, Ltd. clinic are as mentioned below.
| NPI Number: | 1952428310 |
| NPI Enumeration Date: | 23 Mar, 2007 |
| NPI Last Update On: | 20 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Lake Family Dentistry, Ltd. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 30.020826 | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9182631 | Other | | Dentaquest |
| 2057965 | Medicaid | Ohio | |
| 06131 | Other | | Paramount |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grand Lake Family Dentistry, Ltd.
800 E Wayne St, Po Box 316
Celina, Ohio |
| Zip: | 45822-1359 |
| Phone Number: | 419-586-1615 |
| Fax Number: | 419-586-1616 |
Patients can reach Grand Lake Family Dentistry, Ltd. at
800 E Wayne St, Celina, Ohio or can
call to book an appointment on 419-586-1615.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.