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

Van De Vyver Dental, PC

Organization General Practice Dentistry · NPI 1083003222

Van De Vyver Dental, PC is a General Practice Dentistry in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

53620 Van Dyke Ave Ste 2
Shelby Township, MI 48316-1831
Phone: (586) 677-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901019702 (MI)

Record details

NPI number1083003222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Van De Vyver — President · (734) 320-8939
Other names Great Lakes Dentistry; Great Lakes Dentistry
NPI enumeratedJanuary 12, 2015
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address53620 Van Dyke Ave Ste 2, Shelby Township, MI 48316-1831

Other providers in Shelby Township