Great Lakes Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREAT LAKES DENTAL GROUP

Practice address

115 E 14TH St
Traverse City, MI 49684-3220

Phone

(231) 947-3790

Fax

(231) 947-3353

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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. Frank Ken Catino, DDS

Title

Owner Dentist

Phone

(231) 947-3790

Specialties & licenses 1

Addresses

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.

• Francis K Catino, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1336315621
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407900558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 14TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843220",
            "telephone_number": "231-947-3790",
            "fax_number": "231-947-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 14TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843220",
            "telephone_number": "231-947-3790",
            "fax_number": "231-947-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "231-947-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Gray, R.N., F.N.P.
• Natalie A Gray, MD
• Tracey Lynn Gray, M.A., CCC-SLP
• Great Lakes Cardiology, P.C.
• Great Lakes Chiropractic of Michigan PLLC
• Great Lakes Eye Consultants PLC
• Great Lakes Foot & Ankle Specialist, PLLC
• Great Lakes Foot and Ankle Specialists
• Great Lakes Home Healthcare Specialists, LLC
• Great Lakes Integrated Health PLLC (Great Lakes Integrated Health)

• Dentist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dentist 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.