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

Gratiot Dental PC

Organization Dentist · NPI 1073702478

Gratiot Dental PC is a Dentist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12645 Gratiot Ave
Detroit, MI 48205-3952
Phone: (313) 527-1140
Fax: (313) 527-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12881 (MI)

Record details

NPI number1073702478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Walker — President · (313) 527-1140
NPI enumeratedOctober 22, 2007
Last updated in NPPESOctober 22, 2007
Mailing address12645 Gratiot Ave, Detroit, MI 48205-3952

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