Great Lakes Dentistry Chesterfield
NPI 1073265542 · Dental Clinic/Center · Chesterfield, MI
Great Lakes Dentistry Chesterfield is a Dental Clinic/Center organization in Chesterfield, MI (NPI 1073265542).
Provider details
- NPI number
- 1073265542
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Van De Vyver, Manager(734) 320-8939
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Great Lakes Dental Excellence
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Great Lakes Dentistry Chesterfield's NPI number?
- Great Lakes Dentistry Chesterfield's National Provider Identifier (NPI) is 1073265542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dentistry Chesterfield?
- Great Lakes Dentistry Chesterfield is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Dentistry Chesterfield located?
- Great Lakes Dentistry Chesterfield's practice location on file with NPPES is 34301 23 Mile Rd Ste 140a, Chesterfield, MI 48047-4432.
- What is Great Lakes Dentistry Chesterfield's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dentistry Chesterfield is (586) 725-5500.
- Who is the authorized official for Great Lakes Dentistry Chesterfield?
- The authorized official listed on Great Lakes Dentistry Chesterfield's NPPES record is Shawn Van De Vyver, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dentistry Chesterfield's NPI active?
- Yes — Great Lakes Dentistry Chesterfield's NPI (1073265542) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.