# 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:** Secor Dental Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942038880
- **Legal business name:** LIFETIME DENTAL CARE OF MICHIGAN, P.C.
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 7924 SECOR RD, LAMBERTVILLE, MI 48144-9619
- **Practice address phone:** (734) 856-3004
- **Mailing address:** 7924 SECOR RD, LAMBERTVILLE, MI 48144-9619
- **Mailing address phone:** (734) 856-3004

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024