# LIFETIME DENTAL CARE OF MICHIGAN, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFETIME DENTAL CARE OF MICHIGAN, P.C.
- **Other names:** Affordable Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437809514
- **Legal business name:** LIFETIME DENTAL CARE OF MICHIGAN, P.C.
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 18181 W 12 MILE RD STE 1, LATHRUP VILLAGE, MI 48076-2666
- **Practice address phone:** (248) 849-9310
- **Mailing address:** 18181 W 12 MILE RD STE 1, LATHRUP VILLAGE, MI 48076-2666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 03/24/2022