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OLD MISSION DENTISTRY
NPI 1497117923
Dentist in Traverse City, MI

Active since March 23, 2016
3258 BOWERS HARBOR RD, TRAVERSE CITY, MI 49686(231) 223-4232(231) 223-9205 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2016, Mar 23, 2016 (2 updates tracked since 2016).

About Old Mission Dentistry NPPES

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

OLD MISSION DENTISTRY (NPI 1497117923) is a healthcare organization registered as a dentist in Traverse City, Michigan and active in the NPI registry since March 2016. The organization lists Melissa Aylworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1497117923
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOLD MISSION PENINSULA DENTISTRY RC
Location Address3258 BOWERS HARBOR RDTraverse City, MI 49686-9737
Mailing Address3258 Bowers Harbor RdTraverse City, MI 49686-9737 · (231) 223-4232 · Fax (231) 223-9205
Phone(231) 223-4232
Fax(231) 223-9205
Organization SubpartNo
Authorized OfficialMelissa AylworthOwner · (231) 223-4232
Enumeration DateMarch 23, 2016
Last NPPES UpdateMarch 28, 20162 updates tracked since enumeration
✔ NPI 1497117923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019846
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.
3258 BOWERS HARBOR RD, Traverse City, MI 49686
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Other Names 1

Doing Business AsOld Mission Dentistry

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.

DR. FRED DECKERT STOYE JR. D.D.S.
Dentist (General Practice)
3258 BOWERS HARBOR RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 223-4232
MELISSA AYLWORTH DDS
Dentist
3258 BOWERS HARBOR RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 223-4232

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 Old Mission Peninsula Dentistry Rc's NPI number?

The NPI number for Old Mission Peninsula Dentistry Rc is 1497117923. It was assigned to this organization in the NPPES registry on March 23, 2016. The provider is doing business as Old Mission Dentistry.

Where is Old Mission Peninsula Dentistry Rc located?

Old Mission Peninsula Dentistry Rc is located at 3258 Bowers Harbor Rd, Traverse City, MI 49686. The listed phone number is (231) 223-4232.

What is Old Mission Peninsula Dentistry Rc's specialty?

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

When was this NPI record last updated?

The NPPES record for Old Mission Peninsula Dentistry Rc was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.