Lifetime Dental Care of Michigan, P.C.
NPI 1174032932ActiveOrganization· Dentist, General Practice· Lansing, MI
Dentist, General Practice in Lansing, Michigan, registered in NPPES in September 2017, part of Lifetime Dental Care of Michigan, P.C. The authorized official on file is Cassandra Petersen, Credentialing Coordinator.
Overview
| NPI | 1174032932 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifetime Dental Care of Michigan, P.C. |
| NPI issued | Sep 25, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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