Organization · Type 2 NPI

Lifetime Dental Care of Michigan, PC

General Practice Dentistry · Portage, MI

NPI number 1619739679 Active

Practice location

8110 Cooley Dr
Portage, MI 49024-4046

Fax (269) 382-3125

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.

Another provider at this address

Keith Anthony Cohrs, DDSGeneral Practice Dentistry Portage, MI NPI 1346276623

Other general practice dentistry providers in Portage

See all in Portage →

NPI record

NPI: 1619739679
Entity type: Organization (Type 2)
Issued: Jan 25, 2024
Last updated: Mar 14, 2025
Status: Active
Subpart: Yes of Lifetime Dental Care of Michigan, PC

Other names

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Timberview Dental Care · doing business as

Authorized official

Cemyira McDougal
Credentialing Coordinator
(217) 764-8609

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 1619739679

Lifetime Dental Care of Michigan, PC's National Provider Identifier is 1619739679, issued on Jan 25, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portage, MI. The record was last updated on Mar 14, 2025.