TLC DENTAL OF WALLED LAKE, PLLC


Address: 1264 S Commerce Rd, Walled Lake, MI 48390-3008
Phone: 2486244774

TLC DENTAL OF WALLED LAKE, PLLC (NPI# 1104925775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104925775
Entity Type Organization
Organization Name TLC DENTAL OF WALLED LAKE, PLLC
Practice Address 1264 S Commerce Rd
Walled Lake
MI 48390-3008
Practice Telephone 2486244774
Practice Fax Number 2486249256
Mailing Telephone 2486244774
Mailing Fax Number 2486249256
Enumeration Date 2006-09-21
Last Update Date 2020-08-22
Authorized Official Name DR. KURT HEUERMAN (OWNER)
Authorized Official Telephone 2486244774
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
18099 MI Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
2901018746 MI Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
17214 MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI DDS 17087 01

Office Location

Street Address 1264 S COMMERCE RD
City WALLED LAKE
State MI
Zip Code 48390-3008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366792657 Ronald Mishko II Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2012-09-13
1588838759 Convenient Wl, PC Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2008-04-17
1881720548 Khaldoun M Tarabin Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2007-02-26
1346318698 Shikha Sood Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2006-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043820913 Elizabeth Ann Manela Speech-Language Pathologist 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 2020-08-05
1205459674 Allor Outdoor Services LLC Chore Provider 3225 E Oakley Park Rd, Commerce Twp, MI 48390 2020-05-20
1467004382 Convenient Cm PC Dentist 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 2019-07-11
1629535117 Valerie Baunoch Nurse Practitioner 2057 E West Maple Rd, Commerce Twp, MI 48390 2019-02-21
1255858296 Finn Family Chiropractic Pllc Chiropractor 2344 South Commerce Road, Walled Lake, MI 48390 2017-08-29
1588012629 Shane Macphee Chiropractor 2901 Commerce Crossings, Commerce Township, MI 48390 2016-05-31
1245690114 Lisa Jensen Nurse Practitioner 100 West Maple Rd., Walled Lake, MI 48390 2016-03-04
1255725123 Carissa Karanth Counselor 1500 Rustic Lane, Wolverine Lake, MI 48390 2015-03-27
1689095093 Mabell Omoye Scott Licensed Vocational Nurse 724 Owl Court, Wolverine Lake, MI 48390 2014-01-02
1093002230 Ilze Liene Junkulis-muller Pharmacist 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 2011-07-08
Find all providers in zip 48390

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255948790 Jamie L Hafke Dds Pllc Dentist 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 2020-09-29
1528077435 Stephen Eric Jacobson Dentist 39890 W 14 Mile Rd., Walled Lake, MI 48390-3911 2006-08-07
1457399016 Darren James Schweymaier Dentist 2340 S Commerce Rd, Walled Lake, MI 48390-2126 2006-06-03
1750388096 Steven Hechtman Dentist 55 N Pond Dr, Ste 3, Walled Lake, MI 48390-3080 2005-07-01
1518458330 Ryan P Rivamonte Dentist 2340 S Commerce Rd, Walled Lake, MI 48390-2174 2018-05-29
1366792657 Ronald Mishko II Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2012-09-13
1669648945 Michael P Mcnutt D.d.s., P.C. Dentist 1881 N Pontiac Trl, Suite A, Walled Lake, MI 48390-3101 2008-05-06
1588838759 Convenient Wl, PC Dentist 1264 S Commerce Rd, Walled Lake, MI 48390-3008 2008-04-17
1902019177 Nelson J Sherburne Dentist 1052 E West Maple Rd, Walled Lake, MI 48390-3571 2007-05-07
1821210568 Michael Patrick Mcnutt Dentist 1881 N Pontiac Trl, Suite A, Walled Lake, MI 48390-3101 2007-05-03
Find all providers in WALLED LAKE

Competitor

Search similar providers

City WALLED LAKE
Zip Code 48390

Improve Information

Please comment or provide details below to improve the information on TLC DENTAL OF WALLED LAKE, PLLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches