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HARBORSIDE DENTAL PLLC
NPI 1114563012
Dentist - General Practice in Traverse City, MI

Active since November 26, 2019
13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684(231) 946-0207 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harborside Dental Pllc NPPES

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

HARBORSIDE DENTAL PLLC (NPI 1114563012), doing business as Harborside Dental, is a healthcare organization registered as a general practice in Traverse City, Michigan and active in the NPI registry since November 2019. The organization lists Mark David Krull, Partner, as its authorized official.

NPPES Registry Identity

NPI1114563012
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHARBORSIDE DENTAL PLLC
Location Address13300 S WEST BAY SHORE DR STE 1Traverse City, MI 49684-5571
Mailing Address13300 S West Bay Shore Dr Ste 1Traverse City, MI 49684-5571 · (231) 946-0207
Phone(231) 946-0207
Organization SubpartNo
Authorized OfficialMark David KrullPartner · (231) 946-0207
Enumeration DateNovember 26, 2019
✔ NPI 1114563012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13300 S WEST BAY SHORE DR STE 1, Traverse City, MI 49684
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Other Names 1

Doing Business AsHarborside Dental

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D. KRULL DDS PLLC
Dentist (General Practice)
13300 S WEST BAY SHORE DR STE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0207
DR. MARK DAVID KRULL DDS
Dentist (General Practice)
13300 S WEST BAY SHORE DR STE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0207

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 Harborside Dental PLLC's NPI number?

The NPI number for Harborside Dental PLLC is 1114563012. It was assigned to this organization in the NPPES registry on November 26, 2019. The provider is doing business as Harborside Dental.

Where is Harborside Dental PLLC located?

Harborside Dental PLLC is located at 13300 S West Bay Shore Dr Ste 1, Traverse City, MI 49684. The listed phone number is (231) 946-0207.

What is Harborside Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Harborside Dental PLLC was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.