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

Traverse Dental Associates, PLLC

Organization General Practice Dentistry · NPI 1336171800

Traverse Dental Associates, PLLC is a General Practice Dentistry in Traverse City, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
5
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

555 S Garfield Ave
Traverse City, MI 49686-3423
Phone: (231) 947-0210
Fax: (231) 947-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 551 S Garfield Ave Ste A, Traverse City, MI 49686-5502 — (231) 947-0210

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901019122 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12127 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12516 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 13833 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1336171800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Mazzola — Owner · (734) 657-1854
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 23, 2022
Certification dateMarch 17, 2022
Mailing address555 South Garfield Ave, Traverse City, MI 49686-3423

Other providers in Traverse City