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GAYLORD FAMILY DENTISTRY
NPI 1215100987
Dentist - General Practice in Gaylord, MI

Active since April 02, 2008
1507 S OTSEGO AVE STE A, GAYLORD, MI 49735(989) 732-4199(989) 731-6762 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Gaylord Family Dentistry NPPES

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

GAYLORD FAMILY DENTISTRY (NPI 1215100987) is a healthcare organization registered as a general practice in Gaylord, Michigan and active in the NPI registry since April 2008. The organization lists Nicole Koenig, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215100987
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHERN MICHIGAN FAMILY DENTISTRY PLLC
Location Address1507 S OTSEGO AVE STE AGaylord, MI 49735-9524
Mailing AddressPo Box 1725Gaylord, MI 49734-5725 · (989) 732-4199 · Fax (989) 731-6762
Phone(989) 732-4199
Fax(989) 731-6762
Organization SubpartNo
Authorized OfficialNicole KoenigOffice Manager · (989) 732-4199
Enumeration DateApril 2, 2008
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
✔ NPI 1215100987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 16080
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.
1507 S OTSEGO AVE STE A, Gaylord, MI 49735
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Other Names 1

Doing Business AsGaylord Family Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 Northern Michigan Family Dentistry PLLC's NPI number?

The NPI number for Northern Michigan Family Dentistry PLLC is 1215100987. It was assigned to this organization in the NPPES registry on April 2, 2008. The provider is doing business as Gaylord Family Dentistry.

Where is Northern Michigan Family Dentistry PLLC located?

Northern Michigan Family Dentistry PLLC is located at 1507 S Otsego Ave Ste A, Gaylord, MI 49735. The listed phone number is (989) 732-4199.

What is Northern Michigan Family Dentistry PLLC's specialty?

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

What insurance does Northern Michigan Family Dentistry PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Northern Michigan Family Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Michigan Family Dentistry PLLC was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.