LIFETIME DENTAL CARE PLLC (NPI# 1225642242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225642242 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE PLLC |
| Practice Address |
2528 Spring Arbor Rd Jackson MI 49203-3602 |
| Practice Telephone | 5177879171 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | DR. JAMES CHEN (MEMBER) |
| Authorized Official Telephone | 5177879171 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DENTAL LICENSE NUMBER | 2901019794 | 01 |
| MI | DENTAL LICENSE NUMBER | 2901018159 | 01 |
| Street Address |
2528 SPRING ARBOR RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174685887 | Brent H. Bierwirth | Dentist | 2528 Spring Arbor Rd, Jackson, MI 49203-3602 | 2006-12-16 |
| 1437208576 | James Yue Chen | Dentist | 2528 Spring Arbor Rd, Jackson, MI 49203-3602 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
| 1790269173 | Chad Brown, D.d.s., P.C. | Clinic/Center | 604 2nd St, Jackson, MN 56143-1646 | 2018-09-20 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1396903811 | John W. Crowder, D.d.s.,p.c. | Clinic/Center | 209 Oil Well Rd, Jackson, TN 38305-7924 | 2008-05-30 |
| 1194997775 | Noel K. Toler,jr.,d.d.s.,p.a. | Clinic/Center | 2600 River Ridge Dr, Jackson, MS 39216-5013 | 2008-03-24 |
| 1124182407 | Choices for Dental | Clinic/Center | 2941 Terry Rd Ste 16, Jackson, MS 39212-3072 | 2006-12-20 |
| 1982787073 | G. Robert Hopper, D.d.s., P.C. | Clinic/Center | 468 N Parkway, Jackson, TN 38305-2857 | 2006-10-23 |
| 1508958133 | Mid South Dental Center of Jackson | Clinic/Center | 5685 Hwy 18 West, Jackson, MS 39209 | 2006-09-29 |
| 1821601626 | Sheets Family Dentistry Pllc | Clinic/Center | 1615 Carlton Blvd, Jackson, MI 49203-1444 | 2020-08-31 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.