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

Old Mission Peninsula Dentistry Rc

Organization Dentist · NPI 1497117923

Old Mission Peninsula Dentistry Rc is a Dentist in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

3258 Bowers Harbor Rd
Traverse City, MI 49686-9737
Phone: (231) 223-4232
Fax: (231) 223-9205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901019846 (MI)

Record details

NPI number1497117923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Aylworth — Owner · (231) 223-4232
Other names Old Mission Dentistry
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 28, 2016
Mailing address3258 Bowers Harbor Rd, Traverse City, MI 49686-9737

Other providers in Traverse City