Organization
GREAT LAKES FAMILY DENTAL GROUP-LIVONIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C PATRICK GRAY D.D.S. (OWNER/PRESIDENT)
(810) 732-0200
Entity
Organization
Contact information
Practice address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
(734) 261-9696
Mailing address
G3222 BEECHER RD, FLINT, MI 48532-3614
(810) 230-3245
(810) 230-3229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
122300000X
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
MI
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us