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

Potocki Pediatric Dentistry PLLC

Organization Dental Clinic/Center · NPI 1831832039

Potocki Pediatric Dentistry PLLC is a Dental Clinic/Center in Grass Lake, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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

12365 E Michigan Ave
Grass Lake, MI 49240-8000
Phone: (517) 764-6283
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1831832039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melisa Potocki — Owner Dentist · (248) 361-1512
Other names Grass Lake Pediatric Dentistry And Orthodontics
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address12365 E Michigan Ave, Grass Lake, MI 49240-8000

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