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Grand Lake Family Dentistry, Ltd.

Dentist in Celina, OH · enumerated 2007 · authorized official Travis Lutz, President.

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

National Provider Identifier

1952428310

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Lake Family Dentistry, Ltd.
Practice address 800 E Wayne St, Celina, OH, 45822
Phone (419) 586-1615
Fax (419) 586-1616
Enumeration date Mar 23, 2007
Last updated in NPPES May 20, 2025

Taxonomy & classification

122300000X Dentist Dental Providers · License 30.020826 (OH) Primary

Authorized official

Name Travis Lutz
Title President
Phone (419) 586-1615

Other identifiers

Identifier Type State Issuer
9182631 Other - DENTAQUEST
2057965 Medicaid OH -
06131 Other - PARAMOUNT

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grand Lake Family Dentistry, Ltd.?
Grand Lake Family Dentistry, Ltd. is registered in NPPES as a Dentist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-20.