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GREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC
NPI 1720323173
Dentist - General Practice in Grand Blanc, MI

Active since December 11, 2012
8542 HOLLY ROAD, GRAND BLANC, MI 48439(810) 603-7887(810) 720-1306 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Family Dental Group - Grand Blanc NPPES

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

GREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC (NPI 1720323173), doing business as Great Lakes Family Dental Group - Flint, is a healthcare organization registered as a general practice in Grand Blanc, Michigan and active in the NPI registry since December 2012. The organization lists Clarence Patrick Gray, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1720323173
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC
Location Address8542 HOLLY ROADGrand Blanc, MI 48439
Mailing Address8542 Holly RoadGrand Blanc, MI 48439 · (810) 603-7887 · Fax (810) 720-1306
Phone(810) 603-7887
Fax(810) 720-1306
Organization SubpartNo
Authorized OfficialClarence Patrick GrayOwner/president · (810) 732-0200
Enumeration DateDecember 11, 2012
Last NPPES UpdateJune 13, 2018
✔ NPI 1720323173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901012257
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.
8542 HOLLY ROAD, Grand Blanc, MI 48439
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Other Names 1

Former Legal Business NameGreat Lakes Family Dental Group - Flint

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Great Lakes Family Dental Group - Grand Blanc's NPI number?

The NPI number for Great Lakes Family Dental Group - Grand Blanc is 1720323173. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider was formerly known as Great Lakes Family Dental Group - Flint.

Where is Great Lakes Family Dental Group - Grand Blanc located?

Great Lakes Family Dental Group - Grand Blanc is located at 8542 Holly Road, Grand Blanc, MI 48439. The listed phone number is (810) 603-7887.

What is Great Lakes Family Dental Group - Grand Blanc'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 Great Lakes Family Dental Group - Grand Blanc was last updated on June 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.