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LIFETIME DENTAL CARE OF MICHIGAN, PC
NPI 1619739679
Dentist - General Practice in Portage, MI

Active since January 25, 2024
8110 COOLEY DR, PORTAGE, MI 49024(269) 382-3125(269) 382-3125 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Dental Care Of Michigan, Pc NPPES

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

LIFETIME DENTAL CARE OF MICHIGAN, PC (NPI 1619739679), doing business as Timberview Dental Care, is a healthcare organization registered as a general practice in Portage, Michigan and active in the NPI registry since January 2024. The organization lists Cemyira Mcdougal, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619739679
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF MICHIGAN, PC
Location Address8110 COOLEY DRPortage, MI 49024-4046
Mailing Address8110 Cooley DrPortage, MI 49024-4046
Phone(269) 382-3125
Fax(269) 382-3125
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing Coordinator · (217) 764-8609
Enumeration DateJanuary 25, 2024
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1619739679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
8110 COOLEY DR, Portage, MI 49024
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Other Names 1

Doing Business AsTimberview Dental Care

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

DR. KEITH ANTHONY COHRS D.D.S.
Dentist (General Practice)
8110 COOLEY DR
PORTAGE, MI 49024
Kalamazoo County (269) 382-3125

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 Lifetime Dental Care Of Michigan, PC's NPI number?

The NPI number for Lifetime Dental Care Of Michigan, PC is 1619739679. It was assigned to this organization in the NPPES registry on January 25, 2024. The provider is doing business as Timberview Dental Care.

Where is Lifetime Dental Care Of Michigan, PC located?

Lifetime Dental Care Of Michigan, PC is located at 8110 Cooley Dr, Portage, MI 49024. The listed phone number is (269) 382-3125.

What is Lifetime Dental Care Of Michigan, PC's specialty?

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

What insurance does Lifetime Dental Care Of Michigan, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lifetime Dental Care Of Michigan, PC 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 Lifetime Dental Care Of Michigan, PC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.