Lifetime Dental Care of Michigan, P.c.

NPI #1174270797 in Dexter, Michigan

Provider Information

NPI Number: 1174270797
Entity Type: Organization
Organization Name: Lifetime Dental Care of Michigan, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 3, 2022
Last Updated: Mar 3, 2022

Practice Location

Address: 7225 DAN HOEY RD STE 100
City: Dexter
State: Michigan
ZIP Code: 48130-9280
Phone: (734) 426-9000

Authorized Official

Name: HILLARY THULL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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