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LIFETIME DENTAL OF MACOMB PLLC
NPI 1710816459
Dentist - General Practice in Saint Clair Shores, MI

Active since May 18, 2026
28050 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 774-6655 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Dental Of Macomb Pllc NPPES

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

LIFETIME DENTAL OF MACOMB PLLC (NPI 1710816459) is a healthcare organization registered as a general practice in Saint Clair Shores, Michigan and active in the NPI registry since May 2026. The organization lists Mark Ousachi, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1710816459
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL OF MACOMB PLLC
Location Address28050 HARPER AVESaint Clair Shores, MI 48081-1562
Mailing Address3024 Mangrove DrSterling Heights, MI 48314-4407 · (586) 940-0123
Phone(586) 774-6655
Organization SubpartNo
Authorized OfficialMark OusachiDirector Of Operations · (586) 940-0123
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1710816459 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.
28050 HARPER AVE, Saint Clair Shores, MI 48081
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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

Other Providers at the Same Location NPPES 6

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

DR. NICKALENE BADALAMENTI-KALAS DDS
Dentist (General Practice)
28050 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-6655
DR. SOFIAROSE RAAD DDS
Dentist
28050 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-6655
DR. MARIA BADALAMENTI-GARIPPA D.D.S.
Dentist (General Practice)
28050 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-6655
RICHARD G. RAAD DDS, PC
Clinic/Center (Dental)
28050 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-6655
DR. GAIL ELLEN MOLINARI D.D.S., M.S., M.S.
Dentist (Pediatric Dentistry)
28050 HARPER AVE
ST CLAIR SHORES, MI 48081
Macomb County (586) 774-2210
RICHARD G. RAAD, DDS, PC
Clinic/Center
28050 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-6655

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 Of Macomb PLLC's NPI number?

The NPI number for Lifetime Dental Of Macomb PLLC is 1710816459. It was assigned to this organization in the NPPES registry on May 18, 2026.

Where is Lifetime Dental Of Macomb PLLC located?

Lifetime Dental Of Macomb PLLC is located at 28050 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 774-6655.

What is Lifetime Dental Of Macomb 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 Lifetime Dental Of Macomb PLLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.