| Lifetime Dental Care Of Michigan, P.c. | |
|
56060 Van Dyke Ave Shelby Township MI 48316-5143 | |
| (586) 838-1152 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Michigan, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 56060 Van Dyke Ave, Shelby Township, Michigan |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Michigan, P.c. 56060 Van Dyke Ave Shelby Township MI 48316-5143 Ph: (586) 838-1152 | Lifetime Dental Care Of Michigan, P.c. 56060 Van Dyke Ave Shelby Township MI 48316-5143 Ph: (586) 838-1152 |
| NPI Number | 1720620594 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720620594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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