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

Northern Dental Group, PC

Organization Dentist · NPI 1629265293

Northern Dental Group, PC provides Dentist services in Pellston, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

421 Stimpson St
Pellston, MI 49769-0275 Not confirmed with CMS for 19 years — call before visiting
Phone: (231) 539-8467
Fax: (231) 539-8466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 29010-16726 (MI)
Dentist Taxonomy 122300000X · Licence 29010-17732 (MI)

Record details

NPI number1629265293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Soper — Treatment Coordinator · (231) 539-8467
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing addressP.O. Box 275, 421 Stimpson St., Pellston, MI 49769-0275