# GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699051888
- **Authorized official:** PATRICIA J. HART (CORPORATE MANAGER)
- **Authorized official phone:** (810) 625-2860

## Contact information

- **Practice address:** 427 N. MICHIGAN AVENUE, SAGINAW, MI 48602
- **Practice address phone:** (989) 755-0991
- **Practice address fax:** (989) 755-0001
- **Mailing address:** G3222 BEECHER RD, FLINT, MI 48532-3614
- **Mailing address phone:** (810) 230-3245
- **Mailing address fax:** (810) 230-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011