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ELAN LAKE LANSING
NPI 1811482565
Clinic/Center - Dental in East Lansing, MI

Active since June 26, 2018
818 W LAKE LANSING RD, EAST LANSING, MI 48823(517) 333-9500 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elan Lake Lansing NPPES

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

ELAN LAKE LANSING (NPI 1811482565) is a healthcare organization registered as a dental in East Lansing, Michigan and active in the NPI registry since June 2018. The organization lists Mauricio Moeller, Mbr, as its authorized official.

NPPES Registry Identity

NPI1811482565
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELAN LAKE LANSING
Location Address818 W LAKE LANSING RDEast Lansing, MI 48823-1308
Mailing Address818 W Lake Lansing RdEast Lansing, MI 48823-1308 · (517) 333-9500
Phone(517) 333-9500
Organization SubpartNo
Authorized OfficialMauricio MoellerMbr · (734) 276-2541
Enumeration DateJune 26, 2018
✔ NPI 1811482565 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 · 18235
818 W LAKE LANSING RD, East Lansing, MI 48823
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Other Providers at the Same Location NPPES 5

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

GARY H. DWIGHT, D.D.S., P.C.
Clinic/Center
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Ingham County (517) 333-9500
RITIKA SAI SANIKOMMU DDS
Dentist
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Ingham County (517) 333-9500
DR. GARY HAROLD DWIGHT D.D.S., M.S.
Dentist (Oral and Maxillofacial Pathology)
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Ingham County (517) 333-9500
BLAKE RAMOS
Dentist (General Practice)
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Ingham County (517) 333-9500
SOFIA BOCK BRACAMONTE DDS
Dentist (General Practice)
818 W LAKE LANSING RD
EAST LANSING, MI 48823
Ingham County (517) 333-9500

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 Elan Lake Lansing's NPI number?

The NPI number for Elan Lake Lansing is 1811482565. It was assigned to this organization in the NPPES registry on June 26, 2018.

Where is Elan Lake Lansing located?

Elan Lake Lansing is located at 818 W Lake Lansing Rd, East Lansing, MI 48823. The listed phone number is (517) 333-9500.

What is Elan Lake Lansing'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 Elan Lake Lansing was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.