OrganizationActive
Great Lakes Dental Group PLLC
NPI 1053199141 · Periodontics · Royal Oak, MI
Great Lakes Dental Group PLLC is a Periodontics organization in Royal Oak, MI (NPI 1053199141).
Provider details
- NPI number
- 1053199141
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Delia Danowski, Office Manager(248) 547-3700
Specialties & taxonomies
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4251 Coolidge Hwy
Royal Oak, MI 48073-1639
Phone: (248) 547-3700
Street-level locationGet directions
Mailing address
4251 Coolidge Hwy
Royal Oak, MI 48073-1639
Other names (DBA / former)
- Doing business as
- Dental Implant Center of Royal Oak
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Great Lakes Dental Group PLLC's NPI number?
- Great Lakes Dental Group PLLC's National Provider Identifier (NPI) is 1053199141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dental Group PLLC?
- Great Lakes Dental Group PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Great Lakes Dental Group PLLC located?
- Great Lakes Dental Group PLLC's practice location on file with NPPES is 4251 Coolidge Hwy, Royal Oak, MI 48073-1639.
- What is Great Lakes Dental Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dental Group PLLC is (248) 547-3700.
- Who is the authorized official for Great Lakes Dental Group PLLC?
- The authorized official listed on Great Lakes Dental Group PLLC's NPPES record is Delia Danowski, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dental Group PLLC's NPI active?
- Yes — Great Lakes Dental Group PLLC's NPI (1053199141) is active in the NPPES registry as of the last update on 2023-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.