Great Lakes Dental Group

LBN: Great Lakes Dental Group
Great Lakes Dental Group is an health care organization with primary practice located at 115 E 14Th St , Traverse City MI 49684-3220. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Great Lakes Dental Group can be contacted via phone (231) 947-3790, or through Catino, Frank Ken via phone (231) 947-3790.

Contact Information

Primary practice address
115 E 14Th St Traverse City MI 49684-3220
Phone: (231) 947-3790
Fax: (231) 947-3353
Website:
Map and Directions
Authorized official contact:
Name: Catino, Frank Ken Doctor of Dental Surgery (DDS)
Phone: (231) 947-3790

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1407900558
LBN Legal business name Great Lakes Dental Group
DBA Doing business as
Authorized official Catino, Frank Ken Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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