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FOUR SEASONS DENTAL ASSOCIATES PLLC
NPI 1821165499
Dentist - General Practice in Lake City, MI

Active since November 29, 2006
301 MAIN ST, LAKE CITY, MI 49651(231) 839-4673(231) 839-7874 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Four Seasons Dental Associates Pllc NPPES

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

FOUR SEASONS DENTAL ASSOCIATES PLLC (NPI 1821165499) is a healthcare organization registered as a general practice in Lake City, Michigan and active in the NPI registry since November 2006. The organization lists Dennis E Bushon, Member, as its authorized official.

NPPES Registry Identity

NPI1821165499
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOUR SEASONS DENTAL ASSOCIATES PLLC
Location Address301 MAIN STLake City, MI 49651-0589
Mailing AddressPo Box 589, 301 Main StLake City, MI 49651-0589 · (231) 839-4673 · Fax (231) 839-7874
Phone(231) 839-4673
Fax(231) 839-7874
Organization SubpartNo
Authorized OfficialDennis E BushonMember · (231) 839-4673
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821165499 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.
301 MAIN ST, Lake City, MI 49651
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Other Identifiers 1

Other8011320Bcbs Of Michigan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Four Seasons Dental Associates PLLC's NPI number?

The NPI number for Four Seasons Dental Associates PLLC is 1821165499. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Four Seasons Dental Associates PLLC located?

Four Seasons Dental Associates PLLC is located at 301 Main St, Lake City, MI 49651. The listed phone number is (231) 839-4673.

What is Four Seasons Dental Associates 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 Four Seasons Dental Associates PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.