Organization Active NPI

Great Lakes Family Dental Group-Charlotte, P.C.

  • General Practice Dentistry
  • Charlotte, MI
National Provider Identifier
1679963987
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GREAT LAKES FAMILY DENTAL GROUP-CHARLOTTE, P.C.
Practice address
917 W Lawrence Ave
Charlotte, MI 48813-1309
Phone
(517) 543-1840
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mrs. Helda Palshan
Title
Assistant Corporate Manager
Phone
(810) 814-0204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

917 W Lawrence Ave
Charlotte, MI 48813-1309

Mailing address

917 W Lawrence Ave
Charlotte, MI 48813-1309
Phone (517) 543-1840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1679963987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131309",
            "telephone_number": "517-543-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131309",
            "telephone_number": "517-543-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FAMILY DENTAL GROUP-CHARLOTTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "PALSHAN",
        "authorized_official_first_name": "HELDA",
        "authorized_official_title_or_position": "ASSISTANT CORPORATE MANAGER",
        "authorized_official_telephone_number": "810-814-0204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.