Van De Vyver Dental, P.C.
NPI 1083003222 · General Practice Dentistry · Shelby Township, MI
Van De Vyver Dental, P.C. is a General Practice Dentistry organization in Shelby Township, MI (NPI 1083003222).
Provider details
- NPI number
- 1083003222
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shawn Van De Vyver, President(734) 320-8939
- License
- 2901019702 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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 Dentistry
- Doing business as
- Great Lakes Dentistry
Registry dates
- Enumerated
- 2015-01-12
- Last updated
- 2020-02-19
- Certified
- 2020-02-19
Frequently asked questions
- What is Van De Vyver Dental, P.C.'s NPI number?
- Van De Vyver Dental, P.C.'s National Provider Identifier (NPI) is 1083003222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Van De Vyver Dental, P.C.?
- Van De Vyver Dental, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Van De Vyver Dental, P.C. located?
- Van De Vyver Dental, P.C.'s practice location on file with NPPES is 53620 Van Dyke Ave Ste 2, Shelby Township, MI 48316-1831.
- What is Van De Vyver Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Van De Vyver Dental, P.C. is (586) 677-2828.
- Who is the authorized official for Van De Vyver Dental, P.C.?
- The authorized official listed on Van De Vyver Dental, P.C.'s NPPES record is Shawn Van De Vyver, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Van De Vyver Dental, P.C.'s NPI active?
- Yes — Van De Vyver Dental, P.C.'s NPI (1083003222) is active in the NPPES registry as of the last update on 2020-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.