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GRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD
NPI 1366044158
Dentist - General Practice in Rockford, OH

Active since November 16, 2020
160 E. WALNUT ST., ROCKFORD, OH 45882(419) 363-3537 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd NPPES

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

GRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD (NPI 1366044158) is a healthcare organization registered as a general practice in Rockford, Ohio and active in the NPI registry since November 2020. The organization lists Travis Lutz, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1366044158
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD
Location Address160 E. WALNUT ST.Rockford, OH 45882
Mailing Address160 E. Walnut St.Rockford, OH 45882 · (419) 363-3537
Phone(419) 363-3537
Organization SubpartNo
Authorized OfficialTravis LutzOwner/dentist · (419) 305-9983
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1366044158 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.
160 E. WALNUT ST., Rockford, OH 45882
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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

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 Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd's NPI number?

The NPI number for Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd is 1366044158. It was assigned to this organization in the NPPES registry on November 16, 2020.

Where is Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd located?

Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd is located at 160 E. Walnut St., Rockford, OH 45882. The listed phone number is (419) 363-3537.

What is Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd'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 Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd was last updated on November 16, 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.