Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifetime Dental Care of Michigan, PC

Organization General Practice Dentistry · NPI 1619739679

Lifetime Dental Care of Michigan, PC is a General Practice Dentistry in Portage, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8110 Cooley Dr
Portage, MI 49024-4046
Phone: (269) 382-3125
Fax: (269) 382-3125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619739679
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifetime Dental Care of Michigan, PC
Authorized official Cemyira McDougal — Credentialing Coordinator · (217) 764-8609
Other names Timberview Dental Care
NPI enumeratedJanuary 25, 2024
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address8110 Cooley Dr, Portage, MI 49024-4046

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