OrganizationActive
Great Lakes Dental Services PLLC
NPI 1730641804 · General Practice Dentistry · Flint, MI
Great Lakes Dental Services PLLC is a General Practice Dentistry organization in Flint, MI (NPI 1730641804).
Provider details
- NPI number
- 1730641804
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rudolph Wheaton, Director(810) 308-5086
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5621 Leslie Ct
Flint, MI 48504
Phone: (810) 308-5086
Street-level locationGet directions
Mailing address
5621 Leslie Ct
Flint, MI 48504
Registry dates
- Enumerated
- 2019-04-05
- Last updated
- 2019-04-05
Frequently asked questions
- What is Great Lakes Dental Services PLLC's NPI number?
- Great Lakes Dental Services PLLC's National Provider Identifier (NPI) is 1730641804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dental Services PLLC?
- Great Lakes Dental Services PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Great Lakes Dental Services PLLC located?
- Great Lakes Dental Services PLLC's practice location on file with NPPES is 5621 Leslie Ct, Flint, MI 48504.
- What is Great Lakes Dental Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dental Services PLLC is (810) 308-5086.
- Who is the authorized official for Great Lakes Dental Services PLLC?
- The authorized official listed on Great Lakes Dental Services PLLC's NPPES record is Rudolph Wheaton, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dental Services PLLC's NPI active?
- Yes — Great Lakes Dental Services PLLC's NPI (1730641804) is active in the NPPES registry as of the last update on 2019-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.