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

Great Lakes Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1235821620

Great Lakes Pediatric Dentistry PLLC is a Pediatric Dentistry in Clawson, Michigan. Registered with an NPI since 2023.

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

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Practice location Address checks out

701 S Main St
Clawson, MI 48017-2017
Phone: (248) 915-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1235821620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kareem Rabaa — Dentist · (248) 915-0159
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address1221 Bowers St Unit 229, Birmingham, MI 48012-7117

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