Great Lakes Dentistry is a Dental Clinic in Shelby Township, Michigan. It is located at 53620 Van Dyke Ave Ste 2, Shelby Township, MI and its contact number is 586-677-2828. The authorized person for Great Lakes Dentistry is Shawn Van De Vyver
who is President of the clinic and their contact number is 734-320-8939. The primary license number for Great Lakes Dentistry is 2901019702 (General Practice) in Michigan. Great Lakes Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Great Lakes Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Great Lakes Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
53620 Van Dyke Ave Ste 2, Shelby Township, Michigan, 48316-1831
Phone:
586-677-2828
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:
Shawn Van De Vyver
Position:
President
Contact Number:
734-320-8939
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 Great Lakes Dentistry clinic are as mentioned below.
NPI Number:
1083003222
NPI Enumeration Date:
12 Jan, 2015
NPI Last Update On:
19 Feb, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
2901019702
Michigan
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Great Lakes Dentistry 53620 Van Dyke Ave Ste 2, Shelby Township, Michigan
Zip:
48316-1831
Phone Number:
586-677-2828
Patients can reach Great Lakes Dentistry at 53620 Van Dyke Ave Ste 2, Shelby Township, Michigan or can call to book an appointment on 586-677-2828. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.