Traverse Dental Associates, PLLC
NPI 1336171800 · General Practice Dentistry · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traverse Dental Associates, PLLC is a General Practice Dentistry organization in Traverse City, MI (NPI 1336171800).
Provider details
- NPI number
- 1336171800
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Christopher Mazzola, Owner(734) 657-1854
- License
- 12127 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 551 S Garfield Ave Ste aTraverse City, MI 49686-5502Phone: (231) 947-0210
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2022-03-23
- Certified
- 2022-03-17
Frequently asked questions
- What is Traverse Dental Associates, PLLC's NPI number?
- Traverse Dental Associates, PLLC's National Provider Identifier (NPI) is 1336171800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Traverse Dental Associates, PLLC?
- Traverse Dental Associates, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Traverse Dental Associates, PLLC located?
- Traverse Dental Associates, PLLC's practice location on file with NPPES is 555 South Garfield Ave, Traverse City, MI 49686-3423.
- What is Traverse Dental Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Traverse Dental Associates, PLLC is (231) 947-0210.
- Does Traverse Dental Associates, PLLC accept Medicare?
- Traverse Dental Associates, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Traverse Dental Associates, PLLC?
- The authorized official listed on Traverse Dental Associates, PLLC's NPPES record is Christopher Mazzola, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Traverse Dental Associates, PLLC's NPI active?
- Yes — Traverse Dental Associates, PLLC's NPI (1336171800) is active in the NPPES registry as of the last update on 2022-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.