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

Great Lakes Endodontics

Organization Endodontics · NPI 1659802395

Great Lakes Endodontics is an Endodontics in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

950 Trade Centre Way Ste 225
Portage, MI 49002-0487
Phone: (269) 349-2189
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 2901019963 (MI)

Record details

NPI number1659802395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Yeung — Owner · (269) 349-2189
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017
Mailing address950 Trade Centre Way, Ste 225, Portage, MI 49002-0487

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