OrganizationActive
Lake Michigan Dental PC
NPI 1164548640 · Dentist · Grand Rapids, MI
Lake Michigan Dental PC is a Dentist organization in Grand Rapids, MI (NPI 1164548640).
Provider details
- NPI number
- 1164548640
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Palaszek, Partner(616) 453-8211
Practice location
2150 Lake Michigan Drive Nw
Grand Rapids, MI 49504-4798
Phone: (616) 453-8211
Fax: (616) 453-3277
Street-level locationGet directions
Mailing address
2150 Lake Michigan Drive Nw
Grand Rapids, MI 49504-4798
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2012-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.