OrganizationActive
Northern Michigan Family Dentistry PLLC
NPI 1215100987 · General Practice Dentistry · Gaylord, MI
Northern Michigan Family Dentistry PLLC is a General Practice Dentistry organization in Gaylord, MI (NPI 1215100987).
Provider details
- NPI number
- 1215100987
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nicole Koenig, Office Manager(989) 732-4199
- License
- 16080 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 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
1507 S Otsego Ave Ste a
Gaylord, MI 49735-9524
Phone: (989) 732-4199
Fax: (989) 731-6762
Street-level locationGet directions
Mailing address
Po Box 1725
Gaylord, MI 49734-5725
Other names (DBA / former)
- Doing business as
- Gaylord Family Dentistry
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2018-03-19
Frequently asked questions
- What is Northern Michigan Family Dentistry PLLC's NPI number?
- Northern Michigan Family Dentistry PLLC's National Provider Identifier (NPI) is 1215100987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Michigan Family Dentistry PLLC?
- Northern Michigan Family Dentistry PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northern Michigan Family Dentistry PLLC located?
- Northern Michigan Family Dentistry PLLC's practice location on file with NPPES is 1507 S Otsego Ave Ste a, Gaylord, MI 49735-9524.
- What is Northern Michigan Family Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Michigan Family Dentistry PLLC is (989) 732-4199.
- Who is the authorized official for Northern Michigan Family Dentistry PLLC?
- The authorized official listed on Northern Michigan Family Dentistry PLLC's NPPES record is Nicole Koenig, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Michigan Family Dentistry PLLC's NPI active?
- Yes — Northern Michigan Family Dentistry PLLC's NPI (1215100987) is active in the NPPES registry as of the last update on 2018-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.