# LIFETIME DENTAL CARE OF MICHIGAN, P.C.

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

## Provider details

- **NPI number:** 1841942331
- **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:** 900 52ND ST SW, WYOMING, MI 49509-9725
- **Practice address phone:** (616) 531-6240
- **Mailing address:** 900 52ND ST SW, WYOMING, MI 49509-9725

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022