Lifetime Dental Care of Michigan, PC
NPI #1619739679 in Portage, Michigan
Provider Information
- NPI Number
- 1619739679
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Michigan, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFETIME DENTAL CARE OF MICHIGAN, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2024
- Last Updated
- Mar 14, 2025
Practice Location
Authorized Official
- Name
- CEMYIRA MCDOUGAL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 764-8609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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