Lifetime Dental Care of Michigan, P.C.
NPI 1295241313ActiveOrganization· Dentist, General Practice· Farmington Hills, MI
Dentist, General Practice in Farmington Hills, Michigan, registered in NPPES in December 2017, part of Lifetime Dental Care of Michigan, P.C. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1295241313 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifetime Dental Care of Michigan, P.C. |
| NPI issued | Dec 27, 2017 |
| Last updated in NPPES | Dec 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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