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PROFESSIONAL CORPORATION
NPI 1205928322
Dentist - General Practice in Lansing, MI

Active since September 28, 2006
609 E JOLLY ROAD, SUITE 10B, LANSING, MI 48910(517) 882-7132(517) 882-6608 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Corporation NPPES

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

PROFESSIONAL CORPORATION (NPI 1205928322) is a healthcare organization registered as a general practice in Lansing, Michigan and active in the NPI registry since September 2006. The organization lists Patricia J Hart, General Manager, as its authorized official.

NPPES Registry Identity

NPI1205928322
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT LAKES FAMILY DENTAL GROUP LANSING PC
Location Address609 E JOLLY ROAD, SUITE 10BLansing, MI 48910
Mailing Address609 E Jolly Road, Suite 10bLansing, MI 48910 · (517) 882-7132 · Fax (517) 882-6608
Phone(517) 882-7132
Fax(517) 882-6608
Organization SubpartNo
Authorized OfficialPatricia J HartGeneral Manager · (810) 238-6260
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205928322 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.
609 E JOLLY ROAD, Lansing, MI 48910
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Other Names 1

Other NameProfessional Corporation

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 Great Lakes Family Dental Group Lansing PC's NPI number?

The NPI number for Great Lakes Family Dental Group Lansing PC is 1205928322. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is also known as Professional Corporation.

Where is Great Lakes Family Dental Group Lansing PC located?

Great Lakes Family Dental Group Lansing PC is located at 609 E Jolly Road Suite 10B, Lansing, MI 48910. The listed phone number is (517) 882-7132.

What is Great Lakes Family Dental Group Lansing PC'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 Great Lakes Family Dental Group Lansing PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.