Michael Wolfgram DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL WOLFGRAM DDS PC

Doing business as

Lakeside Dental Associates

Practice address

8103 Holly Rd
Grand Blanc, MI 48439-1846

Phone

(810) 695-2580

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Wolfgram, DDSNPI 1891751491

Title

President/Owner

Phone

(810) 814-3053

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Dental Associates Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Wolfgram, DDS

  • General Practice Dentistry
  • Hartland, MI
  • NPI 1891751491
  NPD Authorized official
• James F Morath, DDS

  • General Practice Dentistry
  • Grand Blanc, MI
  • NPI 1306922216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1144063298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391846",
            "telephone_number": "810-695-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391846",
            "telephone_number": "810-695-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WOLFGRAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "WOLFGRAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "810-814-3053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Meyer, DMD
• Mi Neurosurgery Clinic PC
• Mi Neurosurgery Clinic PC
• Mi Neurosurgery Clinic PC
• Michael J. Sorscher M.D., P.C.
• Michael J Michael Jr., M.D.
• Andrew Mena Michail, DO
• Michigan Dental Wellness Center PLLC
• Michigan Independent Physicians Association, PLC (Michigan IPA)
• Michigan Lung and Critical Care Specialists, PC

• Dental Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.