Lake Michigan Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKE MICHIGAN DENTAL PC

Practice address

2150 Lake Michigan Drive NW
Grand Rapids, MI 49504-4798

Phone

(616) 453-8211

Fax

(616) 453-3277

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Michael Scott Palaszek, DDSNPI 1104942697

Title

Partner

Phone

(616) 453-8211

Specialties & licenses 1

Addresses

Other names 1

• Hallas Palaszek & Warber DDS PC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Scott Palaszek, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1104942697
  NPD (past) Authorized official
• Bruce Carl Warber, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1598881005
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1164548640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKE MICHIGAN DRIVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044798",
            "telephone_number": "616-453-8211",
            "fax_number": "616-453-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKE MICHIGAN DRIVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044798",
            "telephone_number": "616-453-8211",
            "fax_number": "616-453-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "PALASZEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "616-453-8211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallas Palaszek & Warber DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew James Laidlaw, LLMSW
• Walter W Laidlaw, MD
• Laina Wirgau
• Andrea Lynn Lajoie
• Daniel C Lajoie, NP
• Alexander Joseph Lake, DO
• Candice M Lake, BCBA-D, LLP
• Dennis Lake, M.D.
• Eric S Lake, MA,LLP, CADC
• Suzanne Rae Lake, RPH

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.