OrganizationActive
Grand Lake Family Dentistry, Ltd.
NPI 1952428310 · Dentist · Celina, OH
Grand Lake Family Dentistry, Ltd. is a Dentist organization in Celina, OH (NPI 1952428310).
Provider details
- NPI number
- 1952428310
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Travis Lutz, President(419) 586-1615
- License
- 30.020826 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
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
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
800 E Wayne St
Celina, OH 45822-1359
Phone: (419) 586-1615
Fax: (419) 586-1616
Street-level locationGet directions
Mailing address
800 E Wayne St
Celina, OH 45822-1359
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Grand Lake Family Dentistry, Ltd.'s NPI number?
- Grand Lake Family Dentistry, Ltd.'s National Provider Identifier (NPI) is 1952428310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Family Dentistry, Ltd.?
- Grand Lake Family Dentistry, Ltd. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Grand Lake Family Dentistry, Ltd. located?
- Grand Lake Family Dentistry, Ltd.'s practice location on file with NPPES is 800 E Wayne St, Celina, OH 45822-1359.
- What is Grand Lake Family Dentistry, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Family Dentistry, Ltd. is (419) 586-1615.
- Who is the authorized official for Grand Lake Family Dentistry, Ltd.?
- The authorized official listed on Grand Lake Family Dentistry, Ltd.'s NPPES record is Travis Lutz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Family Dentistry, Ltd.'s NPI active?
- Yes — Grand Lake Family Dentistry, Ltd.'s NPI (1952428310) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.