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JEWELL LAKE DENTAL LLC
NPI 1114238151
Dentist in Barton City, MI

Active since June 24, 2010
1889 W TRASK LAKE RD, BARTON CITY, MI 48705(989) 736-7000 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jewell Lake Dental Llc NPPES

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

JEWELL LAKE DENTAL LLC (NPI 1114238151) is a healthcare organization registered as a dentist in Barton City, Michigan and active in the NPI registry since June 2010. The organization lists Steven Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1114238151
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJEWELL LAKE DENTAL LLC
Location Address1889 W TRASK LAKE RDBarton City, MI 48705
Mailing Address1889 W Trask Lake Rd, Po Box 193Barton City, MI 48705 · (989) 736-7000
Phone(989) 736-7000
Organization SubpartNo
Authorized OfficialSteven RodriguezOwner · (989) 736-7000
Enumeration DateJune 24, 2010
✔ NPI 1114238151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901015703
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1889 W TRASK LAKE RD, Barton City, MI 48705
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 Jewell Lake Dental LLC's NPI number?

The NPI number for Jewell Lake Dental LLC is 1114238151. It was assigned to this organization in the NPPES registry on June 24, 2010.

Where is Jewell Lake Dental LLC located?

Jewell Lake Dental LLC is located at 1889 W Trask Lake Rd, Barton City, MI 48705. The listed phone number is (989) 736-7000.

What is Jewell Lake Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jewell Lake Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jewell Lake Dental LLC 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 Jewell Lake Dental LLC was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.