GREAT LAKES DENTALOF WESTLAKE LLC
NPI 1316253149
Dentist - General Practice in Westlake, OH

Active since August 31, 2010
25101 DETROIT RD, SUITE 445, WESTLAKE, OH 44145(440) 617-9429(440) 617-9457 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2021, Aug 25, 2020 (2 updates tracked since 2020).

About Great Lakes Dentalof Westlake Llc NPPES

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

GREAT LAKES DENTALOF WESTLAKE LLC (NPI 1316253149) is a healthcare organization registered as a general practice in Westlake, Ohio and active in the NPI registry since August 2010. The organization lists Stafani Sandoval, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1316253149
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT LAKES DENTALOF WESTLAKE LLC
Location Address25101 DETROIT RD, SUITE 445Westlake, OH 44145-2552
Mailing Address19111 Detroit Rd Ste 206Rocky River, OH 44116-1740 · (440) 617-9429 · Fax (440) 356-2090
Fax(440) 617-9457
Organization SubpartNo
Authorized OfficialStafani SandovalInsurance Specialist · (440) 356-2089
Enumeration DateAugust 31, 2010
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1316253149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 022436
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.
25101 DETROIT RD, Westlake, OH 44145

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 4

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

Nurse Practitioner
25101 DETROIT RD, SUITE 440
WESTLAKE, OH 44145
Dentist (General Practice)
25101 DETROIT RD, SUITE 410 WESTLAWN SQUARE
WESTLAKE, OH 44145
Internal Medicine (Endocrinology, Diabetes & Metabolism)
25101 DETROIT RD, SUITE 440
WESTLAKE, OH 44145
Dentist (General Practice)
25101 DETROIT RD, STE #445
WESTLAKE, OH 44145

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 Dentalof Westlake LLC's NPI number?

The NPI number for Great Lakes Dentalof Westlake LLC is 1316253149. It was assigned to this organization in the NPPES registry on August 31, 2010.

Where is Great Lakes Dentalof Westlake LLC located?

Great Lakes Dentalof Westlake LLC is located at 25101 Detroit Rd Suite 445, Westlake, OH 44145. The listed phone number is (440) 617-9429.

What is Great Lakes Dentalof Westlake LLC'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 Dentalof Westlake LLC was last updated on July 28, 2021. 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.