Organization · Type 2 NPI

Lifetime Dental Care of Michigan, PC

General Practice Dentistry · Belleville, MI

NPI number 1316305063 Active

Practice location

6127 Rawsonville Rd, Suite 118
Belleville, MI 48111-2546

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Belleville

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NPI record

NPI: 1316305063
Entity type: Organization (Type 2)
Issued: Feb 9, 2016
Last updated: Feb 29, 2016
Status: Active
Subpart: Yes of Lifetime Dental Care of Michigan, PC

Other names

<unavail>
The Lakes Dental Care · doing business as

Authorized official

Kendra Walker
Credentialing Team Lead
(217) 540-8312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316305063

Lifetime Dental Care of Michigan, PC's National Provider Identifier is 1316305063, issued on Feb 9, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Belleville, MI. The record was last updated on Feb 29, 2016.