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GREAT LAKES PEDIATRIC DENTISTRY PLLC
NPI 1235821620
Dentist - Pediatric Dentistry in Clawson, MI

Active since May 23, 2023
701 S MAIN ST, CLAWSON, MI 48017(248) 915-0159 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Pediatric Dentistry Pllc NPPES

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

GREAT LAKES PEDIATRIC DENTISTRY PLLC (NPI 1235821620) is a healthcare organization registered as a pediatric dentistry in Clawson, Michigan and active in the NPI registry since May 2023. The organization lists Kareem Rabaa, Dentist, as its authorized official.

NPPES Registry Identity

NPI1235821620
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGREAT LAKES PEDIATRIC DENTISTRY PLLC
Location Address701 S MAIN STClawson, MI 48017-2017
Mailing Address1221 Bowers St Unit 229Birmingham, MI 48012-7117
Phone(248) 915-0159
Organization SubpartNo
Authorized OfficialKareem RabaaDentist · (248) 915-0159
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1235821620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
701 S MAIN ST, Clawson, MI 48017
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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 UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

KAREEM RABAA DDS
Dentist (Pediatric Dentistry)
701 S MAIN ST
CLAWSON, MI 48017
Oakland County (248) 565-3834

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 Pediatric Dentistry PLLC's NPI number?

The NPI number for Great Lakes Pediatric Dentistry PLLC is 1235821620. It was assigned to this organization in the NPPES registry on May 23, 2023.

Where is Great Lakes Pediatric Dentistry PLLC located?

Great Lakes Pediatric Dentistry PLLC is located at 701 S Main St, Clawson, MI 48017. The listed phone number is (248) 915-0159.

What is Great Lakes Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Great Lakes Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Great Lakes Pediatric 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 Great Lakes Pediatric Dentistry PLLC was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.