Great Lakes Dental Care P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011152 Issued in MI

Legal business name

GREAT LAKES DENTAL CARE P.C.

Practice address

933 3 Mile Rd NW Ste 110
Grand Rapids, MI 49544-1673

Phone

(616) 784-6300

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Bruce Webb, D.D.S.NPI 1689756876

Title

Dentist

Phone

(616) 784-6300

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Dennis Bruce Webb, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1689756876
  NPD (past) Authorized official
• Andrew Michel De Zwaan, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1821349549
  NPD
• Travis Wade Kragt, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1902988108
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1730238577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-784-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-784-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-784-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011152",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Rose Grayson, DNP, NP-C
• Charles E. Grayson, PH.D.
• Jesse Grazewski
• Great Lakes Behavioral Health PLC
• Great Lakes Chiropractic Partners
• Great Lakes Hearing
• Great Lakes Jaw Surgery, PC
• Great Lakes Neurosurgical Associates, PC
• Great Lakes Neurosurgical Associates, PC
• Great Lakes Psychiatric Services, P.C.

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 May 12, 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.