GREAT LAKES DENTISTRY CHESTERFIELD
NPI 1073265542
Clinic/Center - Dental in Chesterfield, MI

Q: What is Great Lakes Dentistry Chesterfield's NPI number?

The NPI number for Great Lakes Dentistry Chesterfield is 1073265542. It was assigned to this organization in the NPPES registry on January 25, 2022. The provider is doing business as Great Lakes Dental Excellence.

Q: What is Great Lakes Dentistry Chesterfield's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 25, 2022

34301 23 MILE RD STE 140A, CHESTERFIELD, MI 48047(586) 725-5500 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Dentistry Chesterfield NPPES

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

GREAT LAKES DENTISTRY CHESTERFIELD (NPI 1073265542), doing business as Great Lakes Dental Excellence, is a healthcare organization registered as a dental in Chesterfield, Michigan and active in the NPI registry since January 2022. The organization lists Shawn Van De Vyver, Manager, as its authorized official.

NPPES Registry Identity

NPI1073265542

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameGREAT LAKES DENTISTRY CHESTERFIELD

Location Address34301 23 MILE RD STE 140AChesterfield, MI 48047-4432

Mailing Address73501 Windmill DrBruce Twp, MI 48065-3159

Phone(586) 725-5500

Organization SubpartNo

Authorized OfficialShawn Van De VyverManager · (734) 320-8939

Enumeration DateJanuary 25, 2022

NPPES CertifiedJanuary 25, 2022

✔ NPI 1073265542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

34301 23 MILE RD STE 140A, Chesterfield, MI 48047

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Other Names 1

Doing Business AsGreat Lakes Dental Excellence

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 Lakes Dentistry Chesterfield's NPI number?

The NPI number for Great Lakes Dentistry Chesterfield is 1073265542. It was assigned to this organization in the NPPES registry on January 25, 2022. The provider is doing business as Great Lakes Dental Excellence.

Where is Great Lakes Dentistry Chesterfield located?

Great Lakes Dentistry Chesterfield is located at 34301 23 Mile Rd Ste 140A, Chesterfield, MI 48047. The listed phone number is (586) 725-5500.

What is Great Lakes Dentistry Chesterfield's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Dentistry Chesterfield was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.