Organization Active NPI

Pure North Dentistry PLLC

Doing business as Pure North Dentistry of Grayling

  • General Practice Dentistry
  • Grayling, MI
National Provider Identifier
1295696698
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PURE NORTH DENTISTRY PLLC
Doing business as
Pure North Dentistry of Grayling
Practice address
604 Galen St
Grayling, MI 49738-8788
Phone
(810) 705-2576
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Dennis T Spillane, DDSNPI 1619188653
Title
Owner
Phone
(810) 705-2576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

604 Galen St
Grayling, MI 49738-8788

Mailing address

PO Box 111
Caro, MI 48723-0111
Phone (810) 705-2576

Other names 1

  • Pure North Dentistry of Grayling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1295696698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230111",
            "telephone_number": "810-705-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GALEN ST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388788",
            "telephone_number": "810-705-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE NORTH DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "SPILLANE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-705-2576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure North Dentistry of Grayling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.