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TLC DENTAL OF WALLED LAKE, PLLC
NPI 1104925775
Dentist - General Practice in Walled Lake, MI

Active since September 21, 2006
1264 S COMMERCE RD, WALLED LAKE, MI 48390(248) 624-4774(248) 624-9256 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tlc Dental Of Walled Lake, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TLC DENTAL OF WALLED LAKE, PLLC (NPI 1104925775) is a healthcare organization registered as a general practice in Walled Lake, Michigan and active in the NPI registry since September 2006. The organization lists Kurt Heuerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1104925775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTLC DENTAL OF WALLED LAKE, PLLC
Location Address1264 S COMMERCE RDWalled Lake, MI 48390-3008
Mailing Address1264 S Commerce RdWalled Lake, MI 48390-3008 · (248) 624-4774 · Fax (248) 624-9256
Phone(248) 624-4774
Fax(248) 624-9256
Organization SubpartNo
Authorized OfficialKurt HeuermanOwner · (248) 624-4774
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104925775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 17214✔ Licensed in MI · 18099✔ Licensed in MI · 2901018746
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1264 S COMMERCE RD, Walled Lake, MI 48390
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Other Identifiers 1

Other17087MI · Dds

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD MISHKO II D.D.S.
Dentist (General Practice)
1264 S COMMERCE RD
WALLED LAKE, MI 48390
Oakland County (248) 431-4700
CONVENIENT WL, PC
Dentist (General Practice)
1264 S COMMERCE RD
WALLED LAKE, MI 48390
Oakland County (248) 624-4774
DR. KHALDOUN M TARABIN DDS
Dentist (General Practice)
1264 S COMMERCE RD
WALLED LAKE, MI 48390
Oakland County (248) 624-4774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tlc Dental Of Walled Lake, PLLC's NPI number?

The NPI number for Tlc Dental Of Walled Lake, PLLC is 1104925775. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Tlc Dental Of Walled Lake, PLLC located?

Tlc Dental Of Walled Lake, PLLC is located at 1264 S Commerce Rd, Walled Lake, MI 48390. The listed phone number is (248) 624-4774.

What is Tlc Dental Of Walled Lake, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tlc Dental Of Walled Lake, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tlc Dental Of Walled Lake, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tlc Dental Of Walled Lake, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.