GREAT LAKES DENTAL GROUP
NPI 1407900558
Dentist in Traverse City, MI

Q: What is Great Lakes Dental Group's NPI number?

The NPI number for Great Lakes Dental Group is 1407900558. It was assigned to this organization in the NPPES registry on January 23, 2007.

Q: What is Great Lakes Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 23, 2007

115 E 14TH ST, TRAVERSE CITY, MI 49684(231) 947-3790(231) 947-3353 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Dental Group NPPES

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

GREAT LAKES DENTAL GROUP (NPI 1407900558) is a healthcare organization registered as a dentist in Traverse City, Michigan and active in the NPI registry since January 2007. The organization lists Frank Ken Catino, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1407900558

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGREAT LAKES DENTAL GROUP

Location Address115 E 14TH STTraverse City, MI 49684-3220

Mailing Address115 E 14th StTraverse City, MI 49684-3220 · (231) 947-3790 · Fax (231) 947-3353

Phone(231) 947-3790

Fax(231) 947-3353

Organization SubpartNo

Authorized OfficialFrank Ken CatinoOwner Dentist · (231) 947-3790

Enumeration DateJanuary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407900558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

115 E 14TH ST, Traverse City, MI 49684

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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

Other Providers at the Same Location NPPES 5

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

DR. MARK HALL HOFFMANN DC

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