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Great Lakes Family Dental Group - Grand Blanc

General Practice Dentistry in Grand Blanc, MI · enumerated 2012 · authorized official Clarence Gray, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720323173

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Family Dental Group - Grand Blanc
Other name <Unavail>
Practice address 8542 Holly Road, Grand Blanc, MI, 48439
Fax (810) 720-1306
Enumeration date Dec 11, 2012
Last updated in NPPES Jun 13, 2018

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers · License 2901012257 (MI) Primary

Authorized official

Name Clarence Gray
Title Owner/President

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-13. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Family Dental Group - Grand Blanc located?
The practice location on file with NPPES is in Grand Blanc, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-13.