Organization Active NPI

LGDC PLLC

  • Dental Clinic/Center
  • Grosse Pointe, MI
National Provider Identifier
1548836935
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LGDC PLLC
Practice address
660 Cadieux Rd Ste 2
Grosse Pointe, MI 48230-1552
Phone
(313) 885-5067
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Dr. George A Westphalen, DDSNPI 1972811701
Title
Owner
Phone
(313) 885-5067

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

660 Cadieux Rd Ste 2
Grosse Pointe, MI 48230-1552

Mailing address

660 Cadieux Rd Ste 2
Grosse Pointe, MI 48230-1552
Phone (313) 885-5067

National Provider Directory

National Provider Directory

Locations

660 Cadieux Rd
Ste 2
Grosse Pointe, MI 48230
Phone (313) 885-5067

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1548836935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CADIEUX RD STE 2",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301552",
            "telephone_number": "313-885-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CADIEUX RD STE 2",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301552",
            "telephone_number": "313-885-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "WESTPHALEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-885-5067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.