Lifetime Dental Care of Michigan, PC
NPI 1619739679ActiveOrganization· Dentist, General Practice· Portage, MI
Dentist, General Practice in Portage, Michigan, registered in NPPES in January 2024, part of Lifetime Dental Care of Michigan, PC. The authorized official on file is Cemyira McDougal, Credentialing Coordinator.
Overview
| NPI | 1619739679 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifetime Dental Care of Michigan, PC |
| NPI issued | Jan 25, 2024 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Portage
- 1144830688
- 1194775502
- 1215041413
- 1225696248
- 1255455432
- 1275159139
- 1346276623
- 1366602724
- 1366968737
- 1437885357
- 1477602498
- 1528598158
All 55 general dentists in Portage · All general dentists in Michigan