GREAT LAKES DENTAL SERVICES PLLC
NPI 1730641804
Dentist - General Practice in Flint, MI

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

The NPI number for Great Lakes Dental Services PLLC is 1730641804. It was assigned to this organization in the NPPES registry on April 5, 2019.

Q: What is Great Lakes Dental Services PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 05, 2019

5621 LESLIE CT, FLINT, MI 48504(810) 308-5086 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Great Lakes Dental Services Pllc NPPES

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

GREAT LAKES DENTAL SERVICES PLLC (NPI 1730641804) is a healthcare organization registered as a general practice in Flint, Michigan and active in the NPI registry since April 2019. The organization lists Rudolph Delano Wheaton, Director, as its authorized official.

NPPES Registry Identity

NPI1730641804

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameGREAT LAKES DENTAL SERVICES PLLC

Location Address5621 LESLIE CTFlint, MI 48504

Mailing Address5621 Leslie CtFlint, MI 48504 · (810) 308-5086

Phone(810) 308-5086

Organization SubpartNo

Authorized OfficialRudolph Delano WheatonDirector · (810) 308-5086

Enumeration DateApril 5, 2019

✔ NPI 1730641804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

5621 LESLIE CT, Flint, MI 48504

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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 2

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

MILES OF SMILES DENTISTRY

Dentist (General Practice)

5621 LESLIE CT
FLINT, MI 48504

Genesee County (810) 308-0586

MILES OF SMILES DENTISTRY

Dentist (General Practice)

5621 LESLIE CT
FLINT, MI 48504

Genesee County (810) 308-5086

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 Dental Services PLLC's NPI number?

The NPI number for Great Lakes Dental Services PLLC is 1730641804. It was assigned to this organization in the NPPES registry on April 5, 2019.

Where is Great Lakes Dental Services PLLC located?

Great Lakes Dental Services PLLC is located at 5621 Leslie Ct, Flint, MI 48504. The listed phone number is (810) 308-5086.

What is Great Lakes Dental Services PLLC'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 Dental Services PLLC was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.