Wellspring Dental
Wellspring Dental is a healthcare organization registered as Dental Clinic/Center in Grosse Pointe Woods, MI, holding Type 2 (organization) NPI 1639506280 since 2013. The authorized official on file is Paula Ottaway, Dentist/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639506280 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wellspring Dental |
| Practice address | 20136 MACK AVE, Grosse Pointe Woods, MI, 48236 |
| Phone | 3138869355 |
| Fax | 3136479356 |
| Enumeration date | 2013-09-27 |
| Last updated in NPPES | 2013-09-27 |
Authorized official
| Name | Paula Ottaway |
|---|---|
| Title | Dentist/Owner |
| Phone | 3138869355 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 016554 | MI |
Copy-ready billing details
Provider: Wellspring Dental NPI: 1639506280 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 20136 MACK AVE, Grosse Pointe Woods, MI, 48236
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659768232 | Jessica Brisbois | Individual | Dentist | Grosse Pointe Woods, MI |
| 1881290526 | Office 6 Pllc | Organization | Dental Clinic/Center | Grosse Pointe Woods, MI |
| 1922892223 | The Evolve Group Holdings, LLC | Organization | General Practice Dentistry | Grosse Pointe Woods, MI |
Verify this record
Cross-check NPI 1639506280 against the authoritative CMS record: view Wellspring Dental on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Wellspring Dental?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-27.