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GRASS LAKE DENTAL CENTER PLLC
NPI 1386388114
Clinic/Center - Dental in Grass Lake, MI

Active since April 27, 2022
11745 E MICHIGAN AVE, GRASS LAKE, MI 49240(517) 522-5018 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grass Lake Dental Center Pllc NPPES

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

GRASS LAKE DENTAL CENTER PLLC (NPI 1386388114) is a healthcare organization registered as a dental in Grass Lake, Michigan and active in the NPI registry since April 2022. The organization lists Luciana Gabriela Castro, Owner, as its authorized official.

NPPES Registry Identity

NPI1386388114
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRASS LAKE DENTAL CENTER PLLC
Location Address11745 E MICHIGAN AVEGrass Lake, MI 49240-9219
Mailing Address2143 OrchardviewAnn Arbor, MI 48108-2766
Phone(517) 522-5018
Organization SubpartNo
Authorized OfficialLuciana Gabriela CastroOwner · (734) 355-0779
Enumeration DateApril 27, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1386388114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11745 E MICHIGAN AVE, Grass Lake, MI 49240
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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.

LUCIANA CASTRO
Dentist (General Practice)
11745 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (517) 522-5018
SALLY A. STOMMEN D.D.S.
Dentist (General Practice)
11745 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (517) 522-5018

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 Grass Lake Dental Center PLLC's NPI number?

The NPI number for Grass Lake Dental Center PLLC is 1386388114. It was assigned to this organization in the NPPES registry on April 27, 2022.

Where is Grass Lake Dental Center PLLC located?

Grass Lake Dental Center PLLC is located at 11745 E Michigan Ave, Grass Lake, MI 49240. The listed phone number is (517) 522-5018.

What is Grass Lake Dental Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Grass Lake Dental Center PLLC was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.