LAKE ODESSA DENTAL ASSOCIATES
NPI 1851889471
Clinic/Center - Dental in Lake Odessa, MI

Q: What is Lake Odessa Dental, PLLC's NPI number?

The NPI number for Lake Odessa Dental, PLLC is 1851889471. It was assigned to this organization in the NPPES registry on April 30, 2018. The provider is doing business as Lake Odessa Dental Associates.

Q: What is Lake Odessa Dental, PLLC's specialty?

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

Active since April 30, 2018

1032 4TH AVE, LAKE ODESSA, MI 48849(616) 374-8828(616) 374-7934 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Odessa Dental Associates NPPES

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

LAKE ODESSA DENTAL ASSOCIATES (NPI 1851889471) is a healthcare organization registered as a dental in Lake Odessa, Michigan and active in the NPI registry since April 2018. The organization lists Michael Joseph Crete, Member, as its authorized official.

NPPES Registry Identity

NPI1851889471

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLAKE ODESSA DENTAL, PLLC

Location Address1032 4TH AVELake Odessa, MI 48849-1004

Mailing Address2101 San Lu Rae Dr SeGrand Rapids, MI 49506-3425 · (616) 560-3625

Phone(616) 374-8828

Fax(616) 374-7934

Organization SubpartNo

Authorized OfficialMichael Joseph CreteMember · (616) 560-3625

Enumeration DateApril 30, 2018

✔ NPI 1851889471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1032 4TH AVE, Lake Odessa, MI 48849

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Other Names 1

Doing Business AsLake Odessa Dental Associates

Other Providers at the Same Location NPPES 4

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

GERALD T LICARI DDS PC

Dentist

1032 4TH AVE
LAKE ODESSA, MI 48849

Ionia County (616) 374-8828

DR. GERALD T LICARI DDS

Dentist

1032 4TH AVE
LAKE ODESSA, MI 48849

Ionia County (616) 374-8828

ALEX T. HOELZEL, PLLC

Clinic/Center (Dental)

1032 4TH AVE
LAKE ODESSA, MI 48849

Ionia County (616) 374-8828

DR. MICHAEL J CRETE DDS

Dentist (General Practice)

1032 4TH AVE
LAKE ODESSA, MI 48849

Ionia County (616) 374-8828

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 Lake Odessa Dental, PLLC's NPI number?

The NPI number for Lake Odessa Dental, PLLC is 1851889471. It was assigned to this organization in the NPPES registry on April 30, 2018. The provider is doing business as Lake Odessa Dental Associates.

Where is Lake Odessa Dental, PLLC located?

Lake Odessa Dental, PLLC is located at 1032 4th Ave, Lake Odessa, MI 48849. The listed phone number is (616) 374-8828.

What is Lake Odessa Dental, 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 Lake Odessa Dental, PLLC was last updated on April 30, 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.