Grand Traverse Band of Ottawa and Chippewa Indians
NPI 1508126517 · Dental Clinic/Center · Peshawbestown, MI
Grand Traverse Band of Ottawa and Chippewa Indians is a Dental Clinic/Center organization in Peshawbestown, MI (NPI 1508126517).
Provider details
- NPI number
- 1508126517
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lori Chambers, Manager(231) 534-7477
- License
- 261QD0000X (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Other name
- Gtb Dental Clinc
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2013-12-04
Frequently asked questions
- What is Grand Traverse Band of Ottawa and Chippewa Indians's NPI number?
- Grand Traverse Band of Ottawa and Chippewa Indians's National Provider Identifier (NPI) is 1508126517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Traverse Band of Ottawa and Chippewa Indians?
- Grand Traverse Band of Ottawa and Chippewa Indians is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grand Traverse Band of Ottawa and Chippewa Indians located?
- Grand Traverse Band of Ottawa and Chippewa Indians's practice location on file with NPPES is 2300 N Stallman Road, Peshawbestown, MI 49682.
- What is Grand Traverse Band of Ottawa and Chippewa Indians's phone number?
- The practice phone number listed in the NPPES registry for Grand Traverse Band of Ottawa and Chippewa Indians is (231) 534-7211.
- Who is the authorized official for Grand Traverse Band of Ottawa and Chippewa Indians?
- The authorized official listed on Grand Traverse Band of Ottawa and Chippewa Indians's NPPES record is Lori Chambers, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Traverse Band of Ottawa and Chippewa Indians's NPI active?
- Yes — Grand Traverse Band of Ottawa and Chippewa Indians's NPI (1508126517) is active in the NPPES registry as of the last update on 2013-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.