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 Dec, 2012
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.