Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Family Dentistry, Ltd

Organization Dentist · NPI 1952428310

Grand Lake Family Dentistry, Ltd is a Dentist in Celina, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 E Wayne St
Celina, OH 45822-1359
Phone: (419) 586-1615
Fax: (419) 586-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.020826 (OH)

Record details

NPI number1952428310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Lutz — President · (419) 586-1615
NPI enumeratedMarch 23, 2007
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address800 E Wayne St, Po Box 316, Celina, OH 45822-1359

Other providers in Celina