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

Great Lakes Family Dental Group-Livonia, PC

Organization General Practice Dentistry · NPI 1497077630

Great Lakes Family Dental Group-Livonia, PC is a General Practice Dentistry in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
Specialties on file
2
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

16160 Middlebelt Rd
Livonia, MI 48154-3338
Phone: (734) 261-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 122300000X (MI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 1223S0112X (MI)

Record details

NPI number1497077630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Gray — Owner/President · (810) 732-0200
NPI enumeratedFebruary 15, 2010
Last updated in NPPESFebruary 15, 2010
Mailing addressG3222 Beecher Rd, Flint, MI 48532-3614

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