GREAT LAKES BAY ORTHODONTICS, PLC
NPI 1336782135
Dentist - Orthodontics and Dentofacial Orthopedics in Midland, MI

Active since October 24, 2019
200 NORTHGATE DR, MIDLAND, MI 48640(989) 631-1334 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Bay Orthodontics, Plc NPPES

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

GREAT LAKES BAY ORTHODONTICS, PLC (NPI 1336782135) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Midland, Michigan and active in the NPI registry since October 2019. The organization lists Andrew Grillo, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1336782135
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameGREAT LAKES BAY ORTHODONTICS, PLC
Location Address200 NORTHGATE DRMidland, MI 48640-7344
Mailing Address200 Northgate DrMidland, MI 48640-7344 · (989) 631-1334
Organization SubpartNo
Authorized OfficialAndrew GrilloOrthodontist · (989) 600-8037
Enumeration DateOctober 24, 2019
NPI 1336782135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
200 NORTHGATE DR, Midland, MI 48640

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

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
200 NORTHGATE DR
MIDLAND, MI 48640
Dentist (Orthodontics and Dentofacial Orthopedics)
200 NORTHGATE DR
MIDLAND, MI 48640

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 Bay Orthodontics, Plc's NPI number?

The NPI number for Great Lakes Bay Orthodontics, Plc is 1336782135. It was assigned to this organization in the NPPES registry on October 24, 2019.

Where is Great Lakes Bay Orthodontics, Plc located?

Great Lakes Bay Orthodontics, Plc is located at 200 Northgate Dr, Midland, MI 48640. The listed phone number is (989) 631-1334.

What is Great Lakes Bay Orthodontics, Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Great Lakes Bay Orthodontics, Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Bay Orthodontics, Plc 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 Bay Orthodontics, Plc was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.