LIFELONG FAMILY DENTISTRY PLLC
NPI 1205144417
Dentist - General Practice in Grosse Ile, MI

Active since September 22, 2010
8930 MACOMB ST, GROSSE ILE, MI 48138(734) 676-2288 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lifelong Family Dentistry Pllc NPPES

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

LIFELONG FAMILY DENTISTRY PLLC (NPI 1205144417) is a healthcare organization registered as a general practice in Grosse Ile, Michigan and active in the NPI registry since September 2010. The organization lists Brian M. Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1205144417
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFELONG FAMILY DENTISTRY PLLC
Location Address8930 MACOMB STGrosse Ile, MI 48138-1577
Mailing Address8930 Macomb StGrosse Ile, MI 48138-1577 · (734) 676-2288
Organization SubpartNo
Authorized OfficialBrian M. LongOwner · (734) 616-2288
Enumeration DateSeptember 22, 2010
NPI 1205144417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901016216
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.
8930 MACOMB ST, Grosse Ile, MI 48138

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
8930 MACOMB ST
GROSSE ILE, MI 48138
Dentist (General Practice)
8930 MACOMB ST
GROSSE ILE, MI 48138

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 Lifelong Family Dentistry PLLC's NPI number?

The NPI number for Lifelong Family Dentistry PLLC is 1205144417. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is Lifelong Family Dentistry PLLC located?

Lifelong Family Dentistry PLLC is located at 8930 Macomb St, Grosse Ile, MI 48138. The listed phone number is (734) 676-2288.

What is Lifelong Family Dentistry PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifelong Family Dentistry PLLC was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.