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Lifetime Dental Care Pllc
Dental Clinic/Center in Jackson, Michigan
NPI 1225642242

Lifetime Dental Care Pllc is a Dental Clinic/Center based in Jackson, MI and is specialized in Dental. Lifetime Dental Care Pllc practices in Jackson, MI. The NPI Number for Lifetime Dental Care Pllc is 1225642242 and holds a License No. (Michigan).

The current practice location address for Lifetime Dental Care Pllc is 2528 Spring Arbor Rd, Jackson, MI and can be reached out via phone at 517-787-9171.

Location: 2528 Spring Arbor Rd, Jackson, MI, 49203-3602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225642242
Provider Name
Lifetime Dental Care Pllc
Credential
Provider Entity Type
Organization
Address
2528 Spring Arbor Rd, Jackson, MI, 49203-3602
Phone Number
517-787-9171
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2901018159 01 MI DENTAL LICENSE NUMBER
2901019794 01 MI DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2528 Spring Arbor Rd
City
Jackson
State
Michigan
Zip
49203-3602
Phone Number
517-787-9171
Fax Number
person
Provider Business Mailing Address Details
Address
2528 Spring Arbor Rd
City
Jackson
State
Michigan
Zip
49203-3602
Phone Number
517-787-9171
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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