# GRAND TRAVERSE DENTAL CARE, PC

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

## Provider details

- **NPI number:** 1518930932
- **Authorized official:** DR. THOMAS C. SALON D.D.S. (CEO)
- **Authorized official phone:** (231) 935-1599

## Contact information

- **Practice address:** 1087 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
- **Practice address phone:** (231) 935-1599
- **Practice address fax:** (231) 935-1922
- **Mailing address:** 1087 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8372
- **Mailing address phone:** (231) 935-1599
- **Mailing address fax:** (231) 935-1922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901016153 | MI | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 08/22/2020