LIFETIME DENTAL CARE OF MICHIGAN, P.C. (NPI# 1295241313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295241313 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MICHIGAN, P.C. |
| Other Organization Name | DRAKESHIRE DENTAL |
| Practice Address |
20793 Farmington Rd Ste 201 Farmington Hills MI 48336-5182 |
| Practice Telephone | 2484744600 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408972 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFETIME DENTAL CARE OF MICHIGAN, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Drakeshire Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620594 | Lifetime Dental Care of Michigan, P.C. | Dentist | 56060 Van Dyke Ave, Shelby Township, MI 48316-5143 | 2019-10-14 |
| 1053952382 | Lifetime Dental Care of Michigan, P.C. | Dentist | 102 W Highland Rd, Howell, MI 48843-1159 | 2019-10-08 |
| 1922500917 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1136 Country Club Rd Ste B, Adrian, MI 49221-8208 | 2018-03-06 |
| 1891848594 | Lifetime Dental Care of Michigan, P.C. | Dentist | 19249 Allen Rd, Brownstown Twp, MI 48183-1189 | 2007-01-18 |
| 1568515278 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1820 Whittaker Rd, Ypsilanti, MI 48197-9728 | 2007-01-18 |
| 1285110650 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1950 Chesley Dr, Sterling Heights, MI 48310-4817 | 2018-07-18 |
| 1174032932 | Lifetime Dental Care of Michigan, P.C. | Dentist | 4912 W St Joe Hwy, Lansing, MI 48917-4090 | 2017-09-25 |
| Street Address |
20793 FARMINGTON RD STE 201 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1417439696 | Dawn A. Diesing, Dds Pllc | Dentist | 32910 W.13 Mile Road, Suite C-304, Farmington Hills, MI 48334-1983 | 2018-09-04 |
| 1134650450 | Sarmad Ramzi Eiwaz | Dentist | 32910 W 13 Mile Rd Ste B200, Farmington Hills, MI 48334 | 2017-03-27 |
| 1548702764 | Nimerdeep K Brar | Dentist | 35745 N Grandview Ct, #30101, Farmington Hills, MI 48335 | 2016-11-07 |
| 1306296546 | Cory David Coe | Dentist | 39001 Steeple Chase Apt 25201, Farmington Hills, MI 48331-4929 | 2016-06-19 |
| 1932467891 | Jonathan E Blatt | Dentist | 32226 Tall Timber Dr, Farmington Hills, MI 48334-1767 | 2012-04-30 |
| 1073808663 | Yuksel Erpardo | Dentist | Center for Implant Dentistry, 28124 Orchard Lake Rd, Suite 100, Farmington Hills, MI 48334 | 2011-06-13 |
| 1316158157 | Jewell Dental of Rose Vision | Dentist | 33228 W 12 Mile Rd, Suite 289, Farmington Hills, MI 48334-3309 | 2007-05-24 |
| 1528180718 | Jacquelyn Kwong Chu | Dentist | 32905 W Twelve Mile Rd, Suite #350, Farmington Hills, MI 48334 | 2007-04-06 |
| 1891817631 | Mark Gerald Frizzo Dds Pllc | Dentist | 31300 Ludden, Suite B, Farmington Hills, MI 48334-1433 | 2007-04-04 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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| 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.