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

Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd

Organization General Practice Dentistry · NPI 1366044158

Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd is a General Practice Dentistry in Rockford, Ohio. Registered with an NPI since 2020.

In the registry since
2020
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

160 E Walnut St
Rockford, OH 45882
Phone: (419) 363-3537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1366044158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Lutz — Owner/Dentist · (419) 305-9983
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 12, 2020
Mailing address160 E. Walnut St., Rockford, OH 45882

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