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

Mark J Lodge

Organization General Practice Dentistry · NPI 1790569622

Mark J Lodge is a General Practice Dentistry in Grand Blanc, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

134 High St
Grand Blanc, MI 48439-1335
Phone: (810) 694-8073
Fax: (810) 694-1764
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1790569622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Smith — Office Manager · (810) 694-8073
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address134 High St, Grand Blanc, MI 48439-1335

Other providers in Grand Blanc