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

Great Lakes Dentistry Shelby

Organization Dentist · NPI 1871865832

Great Lakes Dentistry Shelby is a Dentist in Shelby Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

53620 Van Dyke Ave Ste 2
Shelby Twp, MI 48316-1831
Phone: (586) 677-2828
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901019702 (MI)

Record details

NPI number1871865832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Van De Vyver — President · (734) 320-8939
Other names Great Lakes Dentistry
NPI enumeratedFebruary 6, 2012
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address73501 Windmill Dr, Bruce Twp, MI 48065-3159

Other providers in Shelby Twp