OrganizationActive
Gratiot Dental PC
NPI 1073702478 · Dentist · Detroit, MI
Gratiot Dental PC is a Dentist organization in Detroit, MI (NPI 1073702478).
Provider details
- NPI number
- 1073702478
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Wallace Walker, President(313) 527-1140
- License
- 12881 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
12645 Gratiot Ave
Detroit, MI 48205-3952
Phone: (313) 527-1140
Fax: (313) 527-9022
Street-level locationGet directions
Mailing address
12645 Gratiot Ave
Detroit, MI 48205-3952
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2007-10-22
Frequently asked questions
- What is Gratiot Dental PC's NPI number?
- Gratiot Dental PC's National Provider Identifier (NPI) is 1073702478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gratiot Dental PC?
- Gratiot Dental PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gratiot Dental PC located?
- Gratiot Dental PC's practice location on file with NPPES is 12645 Gratiot Ave, Detroit, MI 48205-3952.
- What is Gratiot Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Gratiot Dental PC is (313) 527-1140.
- Who is the authorized official for Gratiot Dental PC?
- The authorized official listed on Gratiot Dental PC's NPPES record is Wallace Walker, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gratiot Dental PC's NPI active?
- Yes — Gratiot Dental PC's NPI (1073702478) is active in the NPPES registry as of the last update on 2007-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.