# LIFETIME DENTAL CARE OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brownstown Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891848594
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 23450 ALLEN RD, WOODHAVEN, MI 48183-3376
- **Practice address phone:** (734) 479-1200
- **Practice address fax:** (734) 479-1277
- **Mailing address:** 23450 ALLEN RD, WOODHAVEN, MI 48183-3376
- **Mailing address phone:** (734) 479-1200
- **Mailing address fax:** (734) 479-1277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 01/23/2024