MEDICARE: LIFETIME DENTAL CARE OF MICHIGAN, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1205584182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFETIME DENTAL CARE OF MICHIGAN, P.C.

Provider Business Mailing Address
First Line	:	8130 GRAND RIVER RD
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9376
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8130 GRAND RIVER RD
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9376
Country	:	US
Telephone Number	:	810-224-5600
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	HILLARY THULL
Credential	:
Telephone Number	:	217-540-8946

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/10/2022

Similar Medicare Providers

1518585009 — SIGNATURE SMILES BRIGHTON PLLC
Practice Location Address:

8130 GRAND RIVER RD
BRIGHTON, MI
48114-9376

Practice Phone: 810-224-5600
Practice Fax:

1619674017 — MICHELLE MEGAN WAGAR LPC
Practice Location Address:

2200 GENOA BUSINESS PARK DR STE 100
BRIGHTON, MI
48114-5328

Practice Phone: 517-492-0517
Practice Fax: 810-215-1334

1922127976 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1730208778 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1356460323 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1497874531 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7575 GRAND RIVER , URG CARE
BRIGHTON, MI
48114

Practice Phone: 810-844-7511
Practice Fax:

Directions to “LIFETIME DENTAL CARE OF MICHIGAN, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.