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GREAT LAKES ENDODONTICS
NPI 1659802395
Dentist - Endodontics in Portage, MI

Active since March 24, 2017
950 TRADE CENTRE WAY, STE 225, PORTAGE, MI 49002(269) 349-2189 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Great Lakes Endodontics NPPES

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

GREAT LAKES ENDODONTICS (NPI 1659802395) is a healthcare organization registered as an endodontics in Portage, Michigan and active in the NPI registry since March 2017. The organization lists Robert Yeung, Owner, as its authorized official.

NPPES Registry Identity

NPI1659802395
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGREAT LAKES ENDODONTICS
Location Address950 TRADE CENTRE WAY, STE 225Portage, MI 49002-0487
Mailing Address950 Trade Centre Way, Ste 225Portage, MI 49002-0487 · (269) 349-2189
Phone(269) 349-2189
Organization SubpartNo
Authorized OfficialRobert YeungOwner · (269) 349-2189
Enumeration DateMarch 24, 2017
✔ NPI 1659802395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MI · 2901019963
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
950 TRADE CENTRE WAY, Portage, MI 49002
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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

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

DR. ROBERT S YEUNG DDS, MS
Dentist
950 TRADE CENTRE WAY, SUITE 225
PORTAGE, MI 49002
Kalamazoo County (269) 349-2189

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 Endodontics's NPI number?

The NPI number for Great Lakes Endodontics is 1659802395. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Great Lakes Endodontics located?

Great Lakes Endodontics is located at 950 Trade Centre Way Ste 225, Portage, MI 49002. The listed phone number is (269) 349-2189.

What is Great Lakes Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Great Lakes Endodontics was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.