Great Lakes Dentistry Shelby is a Dental Clinic in Shelby Twp, Michigan. It is located at 53620 Van Dyke Ave, Suite 2, Shelby Twp, MI and its contact number is 586-677-2828. The authorized person for Great Lakes Dentistry Shelby 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 Shelby is 2901019702 (Dentist) in Michigan.
Great Lakes Dentistry Shelby 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:
Great Lakes Dentistry Shelby 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 Shelby |
| Specialization: | Dentistry |
| Clinic Address: | 53620 Van Dyke Ave, Suite 2, Shelby Twp,
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 Shelby clinic are as mentioned below.
| NPI Number: | 1871865832 |
| NPI Enumeration Date: | 06 Feb, 2012 |
| NPI Last Update On: | 25 Jan, 2022 |
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 Shelby are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 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 Shelby
73501 Windmill Dr,
Bruce Twp, Michigan |
| Zip: | 48065-3159 |
| Phone Number: | 734-320-8939 |
Patients can reach Great Lakes Dentistry Shelby at
53620 Van Dyke Ave, Suite 2, Shelby Twp, Michigan or can
call to book an appointment on 586-677-2828.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.