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

NPI Status: Active since December 11, 2012

Contact Information

8542 HOLLY ROAD
GRAND BLANC, MI
ZIP 48439
Phone: (810) 603-7887
Fax: (810) 720-1306

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  • Organization
  • Dentist
  • General Practice

About GREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC

This page provides the complete NPI Profile along with additional information for Great Lakes Family Dental Group - Grand Blanc, a provider established in Grand Blanc, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720323173 assigned on December 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 2901012257 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Great Lakes Family Dental Group - Grand Blanc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Great Lakes Family Dental Group - Flint. The authorized official of this NPI record is Dr. Clarence Patrick Gray Dds (Owner/president)

NPI
1720323173
Provider Legal Name
GREAT LAKES FAMILY DENTAL GROUP - GRAND BLANC
Other Organization Name
GREAT LAKES FAMILY DENTAL GROUP - FLINT
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
8542 HOLLY ROAD GRAND BLANC, MI 48439
Location Phone
(810) 603-7887
Location Fax
(810) 720-1306
Mailing Address
8542 HOLLY ROAD GRAND BLANC, MI 48439
Mailing Phone
(810) 603-7887
Mailing Fax
(810) 720-1306
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2012
Last Update Date
06-13-2018
Code Navigator

A dentist like Great Lakes Family Dental Group - Grand Blanc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2901012257
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CLARENCE PATRICK GRAY DDS

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(810) 732-0200

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720323173, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 6 + 2 + 6 + 1 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720323173.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720323173, enumerated as an "organization" on December 11, 2012.

The provider is located at 8542 HOLLY ROAD GRAND BLANC, MI 48439 and the phone number is (810) 603-7887.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.