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

Lifetime Dental of Macomb PLLC

Organization General Practice Dentistry · NPI 1710816459

Lifetime Dental of Macomb PLLC is a General Practice Dentistry in Saint Clair Shores, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28050 Harper Ave
Saint Clair Shores, MI 48081-1562
Phone: (586) 774-6655
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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 number1710816459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ousachi — Director Of Operations · (586) 940-0123
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3024 Mangrove Dr, Sterling Heights, MI 48314-4407

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