WELLSPRING DENTAL
NPI 1639506280
Clinic/Center - Dental in Grosse Pointe Woods, MI

Q: What is Wellspring Dental's NPI number?

The NPI number for Wellspring Dental is 1639506280. It was assigned to this organization in the NPPES registry on September 27, 2013.

Q: What is Wellspring Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wellspring Dental was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 27, 2013

20136 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 886-9355(313) 647-9356 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Wellspring Dental NPPES

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

WELLSPRING DENTAL (NPI 1639506280) is a healthcare organization registered as a dental in Grosse Pointe Woods, Michigan and active in the NPI registry since September 2013. The organization lists Paula R Ottaway, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1639506280

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameWELLSPRING DENTAL

Location Address20136 MACK AVEGrosse Pointe Woods, MI 48236-1820

Mailing Address20136 Mack AveGrosse Pointe Woods, MI 48236-1820 · (313) 886-9355 · Fax (313) 647-9356

Phone(313) 886-9355

Fax(313) 647-9356

Organization SubpartNo

Authorized OfficialPaula R OttawayDentist/owner · (313) 886-9355

Enumeration DateSeptember 27, 2013

✔ NPI 1639506280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in MI · 016554

20136 MACK AVE, Grosse Pointe Woods, MI 48236

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Other Providers at the Same Location NPPES 3

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

JESSICA JOHN BRISBOIS DDS

Dentist

20136 MACK AVE
GROSSE POINTE WOODS, MI 48236

Wayne County (313) 886-9355

OFFICE 6 PLLC

Clinic/Center (Dental)

20136 MACK AVE
GROSSE POINTE WOODS, MI 48236

Wayne County (313) 886-9355

THE EVOLVE GROUP HOLDINGS, LLC

Dentist (General Practice)

20136 MACK AVE
GROSSE POINTE WOODS, MI 48236

Wayne County (309) 532-2059

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 Wellspring Dental's NPI number?

The NPI number for Wellspring Dental is 1639506280. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Wellspring Dental located?

Wellspring Dental is located at 20136 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 886-9355.

What is Wellspring Dental'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 Wellspring Dental was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.