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GREAT NORTHERN DENTAL ASSOC PC
NPI 1013011139
Dentist in Escanaba, MI

Active since September 11, 2006
1100 1ST AVE NORTH, ESCANABA, MI 49829(906) 786-3814(906) 786-3881 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Northern Dental Assoc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT NORTHERN DENTAL ASSOC PC (NPI 1013011139) is a healthcare organization registered as a dentist in Escanaba, Michigan and active in the NPI registry since September 2006. The organization lists Gary W Bradley, President, as its authorized official.

NPPES Registry Identity

NPI1013011139
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREAT NORTHERN DENTAL ASSOC PC
Location Address1100 1ST AVE NORTHEscanaba, MI 49829
Mailing Address1100 1st Ave NorthEscanaba, MI 49829 · (906) 786-3814 · Fax (906) 786-3881
Phone(906) 786-3814
Fax(906) 786-3881
Organization SubpartNo
Authorized OfficialGary W BradleyPresident · (906) 786-3814
Enumeration DateSeptember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013011139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1100 1ST AVE NORTH, Escanaba, MI 49829
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Northern Dental Assoc PC's NPI number?

The NPI number for Great Northern Dental Assoc PC is 1013011139. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Great Northern Dental Assoc PC located?

Great Northern Dental Assoc PC is located at 1100 1st Ave North, Escanaba, MI 49829. The listed phone number is (906) 786-3814.

What is Great Northern Dental Assoc PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Great Northern Dental Assoc PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.