Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mark J Lodge

Organization General Practice Dentistry · NPI 1790569622

Mark J Lodge provides 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