# GREAT LAKES FAMILY DENTAL GROUP-ALMONT,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033370341
- **Authorized official:** MRS. PATRICIA J HART (CORPORATE MANAGER)
- **Authorized official phone:** (810) 625-2860

## Contact information

- **Practice address:** 606 N MAIN ST, ALMONT, MI 48003-8553
- **Practice address phone:** (810) 798-8585
- **Mailing address:** 606 N MAIN ST, ALMONT, MI 48003-8553
- **Mailing address phone:** (810) 798-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2-ORGANIZATION | DENTAL GROUP | MI |