Great Lakes Family Dental Group Lansing PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREAT LAKES FAMILY DENTAL GROUP LANSING PC

Practice address

609 E Jolly Road
Suite 10B
Lansing, MI 48910

Phone

(517) 882-7132

Fax

(517) 882-6608

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia J Hart

Title

General Manager

Phone

(810) 238-6260

Specialties & licenses 1

Addresses

Other names 1

• Professional Corporation Other name

Locations

Practitioners 1

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

• Jonathan J Bechtel, DDS

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1275625337
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205928322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E JOLLY ROAD",
            "address_2": "SUITE 10B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-882-7132",
            "fax_number": "517-882-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E JOLLY ROAD",
            "address_2": "SUITE 10B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-882-7132",
            "fax_number": "517-882-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FAMILY DENTAL GROUP LANSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "810-238-6260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cheris Grasse, MPT
• Grassroots Community Counseling Services
• Melodee Anne Graybill, LMSW
• Katherine Grayden, MD
• Allie Michelle Grden, PT, DPT
• Great Lakes Lithotripsy, LLC
• Great Lakes Pediatric Associates
• Greater Lansing Chiropractic
• Greater Lansing Chiropractic Clinics Inc
• Greater Lansing Orthotic Clinic Inc.

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.