# LAKEWINDS DENTAL CENTRE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730338096
- **Authorized official:** MRS. RENEE ANNE CAITHAMER (FINANCIAL COORDINATOR)
- **Authorized official phone:** (231) 845-7240

## Contact information

- **Practice address:** 409 W LUDINGTON AVE STE 101, LUDINGTON, MI 49431-2377
- **Practice address phone:** (231) 845-7240
- **Mailing address:** 409 W LUDINGTON AVE STE 101, LUDINGTON, MI 49431-2377
- **Mailing address phone:** (231) 845-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10255 | MI | — |
| 122300000X | Dentist | 17339 | MI | — |
| 122300000X | Dentist | 19317 | MI | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008