# GREAT LAKES SLEEP CARE PLLC

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

## Provider details

- **NPI number:** 1205710530
- **Authorized official:** ANDREW DE ZWAAN DDS (OWNER)
- **Authorized official phone:** (616) 784-6300

## Contact information

- **Practice address:** 933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
- **Practice address phone:** (616) 784-6300
- **Mailing address:** 933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
- **Mailing address phone:** (616) 784-6300

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2025
- **Last updated:** 10/03/2025