GRAND LAKE FAMILY DENTISTRY, LTD.
NPI 1952428310
Dentist in Celina, OH

Active since March 23, 2007
800 E WAYNE ST, CELINA, OH 45822(419) 586-1615(419) 586-1616 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Lake Family Dentistry, Ltd. NPPES

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

GRAND LAKE FAMILY DENTISTRY, LTD. (NPI 1952428310) is a healthcare organization registered as a dentist in Celina, Ohio and active in the NPI registry since March 2007. The organization lists Travis Duane Lutz, President, as its authorized official.

NPPES Registry Identity

NPI1952428310
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGRAND LAKE FAMILY DENTISTRY, LTD.
Location Address800 E WAYNE STCelina, OH 45822-1359
Mailing Address800 E Wayne St, Po Box 316Celina, OH 45822-1359 · (419) 586-1615 · Fax (419) 586-1616
Fax(419) 586-1616
Organization SubpartNo
Authorized OfficialTravis Duane LutzPresident · (419) 586-1615
Enumeration DateMarch 23, 2007
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1952428310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30.020826
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
800 E WAYNE ST, Celina, OH 45822

Other Identifiers 3

Other9182631Dentaquest
Medicaid2057965OH
Other06131Paramount

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
800 E WAYNE ST
CELINA, OH 45822
Dentist (General Practice)
800 E WAYNE ST
CELINA, OH 45822
Dentist (General Practice)
800 E WAYNE ST
CELINA, OH 45822

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 Grand Lake Family Dentistry, Ltd.'s NPI number?

The NPI number for Grand Lake Family Dentistry, Ltd. is 1952428310. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Grand Lake Family Dentistry, Ltd. located?

Grand Lake Family Dentistry, Ltd. is located at 800 E Wayne St, Celina, OH 45822. The listed phone number is (419) 586-1615.

What is Grand Lake Family Dentistry, Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Grand Lake Family Dentistry, Ltd. accept?

Health plans from DentaQuest Insurance Company Inc- OH list Grand Lake Family Dentistry, Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Lake Family Dentistry, Ltd. was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.