OrganizationActive
Great Lakes Dentistry Shelby
NPI 1871865832 · Dentist · Shelby Twp, MI
Great Lakes Dentistry Shelby is a Dentist organization in Shelby Twp, MI (NPI 1871865832).
Provider details
- NPI number
- 1871865832
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Shawn Van De Vyver, President(734) 320-8939
- License
- 2901019702 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
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
53620 Van Dyke Ave
Suite 2
Shelby Twp, MI 48316-1831
Phone: (586) 677-2828
Street-level locationGet directions
Mailing address
73501 Windmill Dr
Bruce Twp, MI 48065-3159
Other names (DBA / former)
- Doing business as
- Great Lakes Dentistry
Registry dates
- Enumerated
- 2012-02-06
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Great Lakes Dentistry Shelby's NPI number?
- Great Lakes Dentistry Shelby's National Provider Identifier (NPI) is 1871865832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dentistry Shelby?
- Great Lakes Dentistry Shelby is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Great Lakes Dentistry Shelby located?
- Great Lakes Dentistry Shelby's practice location on file with NPPES is 53620 Van Dyke Ave, Shelby Twp, MI 48316-1831.
- What is Great Lakes Dentistry Shelby's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dentistry Shelby is (586) 677-2828.
- Who is the authorized official for Great Lakes Dentistry Shelby?
- The authorized official listed on Great Lakes Dentistry Shelby's NPPES record is Shawn Van De Vyver, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dentistry Shelby's NPI active?
- Yes — Great Lakes Dentistry Shelby's NPI (1871865832) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.