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Great Lakes Family Dental Group Dexter, PC

NPI 1003191941ActiveOrganization· Dentist, General Practice· Dexter, MI

Dentist, General Practice in Dexter, Michigan, registered in NPPES in October 2011. The authorized official on file is Patricia J. Hart, Corporate Manager.

Overview

NPI1003191941
StatusActive
Entity typeOrganization
NPI issuedOct 11, 2011
Last updated in NPPESOct 11, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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