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

Great Lakes Family Dental Group-Warren, PC

Organization Dentist · NPI 1801345061

Great Lakes Family Dental Group-Warren, PC is a Dentist in Warren, Michigan. Registered with an NPI since 2016.

In the registry since
2016
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

21635 Ryan Rd
Warren, MI 48091-2788
Phone: (810) 230-2345
Fax: (810) 230-3229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1801345061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Hart — Corporate Manager · (810) 625-2860
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016
Mailing addressG3222 Beecher Rd, Flint, MI 48532-3614

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