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

Grand Traverse Band of Ottawa and Chippewa Indians

Organization Dental Clinic/Center · NPI 1508126517

Grand Traverse Band of Ottawa and Chippewa Indians is a Dental Clinic/Center in Peshawbestown, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

2300 N Stallman Rd
Peshawbestown, MI 49682
Phone: (231) 534-7211
Fax: (231) 534-7460
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 261QD0000X (MI)

Record details

NPI number1508126517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Chambers — Manager · (231) 534-7477
Other names Gtb Dental Clinc
NPI enumeratedMay 23, 2012
Last updated in NPPESDecember 4, 2013
Mailing address2300 N Stallman Road, Suite A, Peshawbestown, MI 49682