Lawrence L Grzegorzewski

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAWRENCE L GRZEGORZEWSKI

Doing business as

Great Lakes Family Dentistry

Practice address

4087 S Center Rd
Burton, MI 48519-1466

Phone

(810) 744-1324

Fax

(810) 744-1136

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 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

Julie Perry

Title

Business Coordinator

Phone

(810) 744-1324

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Family Dentistry Doing business as

Locations

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.

• Paul A Ingles, DMD

  • General Practice Dentistry
  • Burton, MI
  • NPI 1639705437
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1992311021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191466",
            "telephone_number": "810-744-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191466",
            "telephone_number": "810-744-1324",
            "fax_number": "810-744-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE L GRZEGORZEWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "810-744-1324"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Labaere II, D.O.
• Gerald L Larson, DO
• Kimberly Lasle
• Carlos Lasmarias, MD
• Nicole Lassiter
• Rayshanda Lanore Lawrence
• Learning Dreams LLC
• Daniel James Lechota, DDS
• Lauren Nicole Lee
• Sarah Ann Lee, OD

• Dental Clinic/Center in Burton, MI
• Providers in Burton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.