| Great Lakes Dentistry | |
|
53620 Van Dyke Ave Ste 2 Shelby Township MI 48316-1831 | |
| (586) 677-2828 | |
| Not Available |
| Full Name | Great Lakes Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 53620 Van Dyke Ave Ste 2, Shelby Township, Michigan |
| Authorized Official Name and Position | Shawn Van De Vyver (PRESIDENT) |
| Authorized Official Contact | 7343208939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Dentistry 53620 Van Dyke Ave Ste 2 Shelby Township MI 48316-1831 Ph: (586) 677-2828 | Great Lakes Dentistry 53620 Van Dyke Ave Ste 2 Shelby Township MI 48316-1831 Ph: (586) 677-2828 |
| NPI Number | 1083003222 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083003222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019702 (Michigan) | Primary |
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› Verified 6 days ago
Jennifer M Fedon Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 5805 24 Mile Rd Ste A, Shelby Township, MI 48316 Phone: 586-604-5455 Fax: 586-677-5567 | |
Roam Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47766 Van Dyke Ave, Shelby Township, MI 48317 Phone: 248-495-9909 | |
Deluxe Dental Pllc # 3 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47059 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-6299 Fax: 586-799-4076 | |
Fedon Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5805 24 Mile Rd, Suite A, Shelby Township, MI 48316 Phone: 586-781-6508 Fax: 586-677-5567 | |
Pelton Glover Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13610 24 Mile Rd, Shelby Township, MI 48315 Phone: 586-731-3131 | |
Regency Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54826 Dequindre Rd, Shelby Township, MI 48316 Phone: 248-601-6320 Fax: 248-601-4416 |