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

Great Lakes Dental Group

Organization Dentist · NPI 1407900558

Great Lakes Dental Group is a Dentist in Traverse City, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

115 E 14th St
Traverse City, MI 49684-3220
Phone: (231) 947-3790
Fax: (231) 947-3353
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1407900558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Catino — Owner Dentist · (231) 947-3790
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address115 E 14th St, Traverse City, MI 49684-3220

Other providers in Traverse City