OrganizationActive
Beacon Dental Center Gaylord
NPI 1134599251 · General Practice Dentistry · Gaylord, MI
Provider details
- NPI number
- 1134599251
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Sullivan, Owner / Doctor(231) 547-9141
- License
- 13522 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1723 W M 32
Building B
Gaylord, MI 49735-9544
Phone: (989) 448-2802
Fax: (231) 547-5077
Approximate (ZIP-level) locationGet directions
Mailing address
6483 M 66 N
Charlevoix, MI 49720-9272
Other names (DBA / former)
- Doing business as
- Beacon Dental Center
Registry dates
- Enumerated
- 2015-10-01
- Last updated
- 2015-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.