POTOCKI PEDIATRIC DENTISTRY PLLC
NPI 1831832039
Clinic/Center - Dental in Grass Lake, MI

Q: What is Potocki Pediatric Dentistry PLLC's NPI number?

The NPI number for Potocki Pediatric Dentistry PLLC is 1831832039. It was assigned to this organization in the NPPES registry on April 15, 2022. The provider is doing business as Grass Lake Pediatric Dentistry and Orthodontics.

Q: What is Potocki Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 15, 2022

12365 E MICHIGAN AVE, GRASS LAKE, MI 49240(517) 764-6283 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Potocki Pediatric Dentistry Pllc NPPES

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

POTOCKI PEDIATRIC DENTISTRY PLLC (NPI 1831832039), doing business as Grass Lake Pediatric Dentistry And Orthodontics, is a healthcare organization registered as a dental in Grass Lake, Michigan and active in the NPI registry since April 2022. The organization lists Melisa Potocki, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1831832039

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePOTOCKI PEDIATRIC DENTISTRY PLLC

Location Address12365 E MICHIGAN AVEGrass Lake, MI 49240-8000

Mailing Address12365 E Michigan AveGrass Lake, MI 49240-8000 · (517) 764-6283

Phone(517) 764-6283

Organization SubpartNo

Authorized OfficialMelisa PotockiOwner Dentist · (248) 361-1512

Enumeration DateApril 15, 2022

NPPES CertifiedApril 15, 2022

✔ NPI 1831832039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

12365 E MICHIGAN AVE, Grass Lake, MI 49240

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Other Names 1

Doing Business AsGrass Lake Pediatric Dentistry And Orthodontics

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 Potocki Pediatric Dentistry PLLC's NPI number?

The NPI number for Potocki Pediatric Dentistry PLLC is 1831832039. It was assigned to this organization in the NPPES registry on April 15, 2022. The provider is doing business as Grass Lake Pediatric Dentistry and Orthodontics.

Where is Potocki Pediatric Dentistry PLLC located?

Potocki Pediatric Dentistry PLLC is located at 12365 E Michigan Ave, Grass Lake, MI 49240. The listed phone number is (517) 764-6283.

What is Potocki Pediatric Dentistry PLLC'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 Potocki Pediatric Dentistry PLLC was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.