Lifetime Dental Care of Michigan, P.C.
NPI 1396555603ActiveOrganization· Dentist, General Practice· Commerce Township, MI
Dentist, General Practice in Commerce Township, Michigan, registered in NPPES in January 2025, part of Lifetime Dental Care of Michigan, P.C. The authorized official on file is Cemyira McDougal, Credentialing Coordinator. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1396555603 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifetime Dental Care of Michigan, P.C. |
| NPI issued | Jan 9, 2025 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (MI) |
|---|
Other general dentists in Commerce Township
- 1003129255
- 1104952852
- 1326568072
- 1417681925
- 1841362290
- 1033553086
- 1174389902
- 1245043280
- 1255398012
- 1326414426
- 1467370353
- 1518117498
All 28 general dentists in Commerce Township · All general dentists in Michigan