Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Family Dentistry, Ltd

Organization Dentist · NPI 1952428310

Grand Lake Family Dentistry, Ltd provides Dentist services in Celina, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 E Wayne St
Celina, OH 45822-1359
Phone: (419) 586-1615
Fax: (419) 586-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.020826 (OH)

Record details

NPI number1952428310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Lutz — President · (419) 586-1615
NPI enumeratedMarch 23, 2007
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address800 E Wayne St, Po Box 316, Celina, OH 45822-1359

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