Organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Other names
Chesley Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MICHIGAN, P.C.
Authorized official
HEARTLAND DENTAL (CREDENTIALING TEAM)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1950 CHESLEY DR, STERLING HEIGHTS, MI 48310-4817
(586) 979-1900
Mailing address
1950 CHESLEY DR, STERLING HEIGHTS, MI 48310-4817
(586) 979-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
03/23/2023
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