OrganizationActive
Grand Lake Family Dentistry Travis D Lutz DDS- Rockford Ltd
NPI 1366044158 · General Practice Dentistry · Rockford, OH
Provider details
- NPI number
- 1366044158
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Travis Lutz, Owner/Dentist(419) 305-9983
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
160 E. Walnut St.
Rockford, OH 45882
Phone: (419) 363-3537
Street-level locationGet directions
Mailing address
160 E. Walnut St.
Rockford, OH 45882
Registry dates
- Enumerated
- 2020-11-16
- Last updated
- 2020-11-16
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.