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BEACON DENTAL CENTER
NPI 1134599251
Dentist - General Practice in Gaylord, MI

Active since October 01, 2015
1723 W M 32, BUILDING B, GAYLORD, MI 49735(989) 448-2802(231) 547-5077 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Dental Center NPPES

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

BEACON DENTAL CENTER (NPI 1134599251) is a healthcare organization registered as a general practice in Gaylord, Michigan and active in the NPI registry since October 2015. The organization lists Michael A Sullivan, Owner / Doctor, as its authorized official.

NPPES Registry Identity

NPI1134599251
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEACON DENTAL CENTER GAYLORD
Location Address1723 W M 32, BUILDING BGaylord, MI 49735-9544
Mailing Address6483 M 66 NCharlevoix, MI 49720-9272 · (231) 547-9141 · Fax (231) 547-5077
Phone(989) 448-2802
Fax(231) 547-5077
Organization SubpartNo
Authorized OfficialMichael A SullivanOwner / Doctor · (231) 547-9141
Enumeration DateOctober 1, 2015
✔ NPI 1134599251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 19909✔ Licensed in MI · 13522
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.
1723 W M 32, Gaylord, MI 49735
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Other Names 1

Doing Business AsBeacon Dental Center

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 MULTIPLE 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 Beacon Dental Center Gaylord's NPI number?

The NPI number for Beacon Dental Center Gaylord is 1134599251. It was assigned to this organization in the NPPES registry on October 1, 2015. The provider is doing business as Beacon Dental Center.

Where is Beacon Dental Center Gaylord located?

Beacon Dental Center Gaylord is located at 1723 W M 32 Building B, Gaylord, MI 49735. The listed phone number is (989) 448-2802.

What is Beacon Dental Center Gaylord'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 Beacon Dental Center Gaylord was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.