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

Great Lakes Dental Group PLLC

Organization Periodontics · NPI 1053199141

Great Lakes Dental Group PLLC is a Periodontics in Royal Oak, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4251 Coolidge Hwy
Royal Oak, MI 48073-1639
Phone: (248) 547-3700
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1053199141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delia Danowski — Office Manager · (248) 547-3700
Other names Dental Implant Center Of Royal Oak
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address4251 Coolidge Hwy, Royal Oak, MI 48073-1639