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LAKE CITY FAMILY DENTISTRY
NPI 1912572124
Dentist - General Practice in Lake City, MI

Active since May 21, 2021
213 S CANAL ST, LAKE CITY, MI 49651(231) 839-2630(231) 839-5751 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake City Family Dentistry NPPES

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

LAKE CITY FAMILY DENTISTRY (NPI 1912572124) is a healthcare organization registered as a general practice in Lake City, Michigan and active in the NPI registry since May 2021. The organization lists Mitch Ty Carpenter-thompson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1912572124
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE CITY FAMILY DENTISTRY
Location Address213 S CANAL STLake City, MI 49651-8865
Mailing Address213 S Canal St, Po Box 719Lake City, MI 49651 · (231) 839-2630 · Fax (231) 839-5751
Phone(231) 839-2630
Fax(231) 839-5751
Organization SubpartNo
Authorized OfficialMitch Ty Carpenter-thompsonOwner/dentist · (231) 839-2630
Enumeration DateMay 21, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1912572124 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.
213 S CANAL ST, Lake City, MI 49651
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Other Identifiers 1

Other600446MI · State License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

MITCH TY CARPENTER-THOMPSON
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
LAKE CITY FAMILY DENTISTRY
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630
MRS. SUSAN L SHORE-VIGNOLA D.D.S.
Dentist (General Practice)
213 S CANAL ST
LAKE CITY, MI 49651
Missaukee County (231) 839-2630

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 Lake City Family Dentistry's NPI number?

The NPI number for Lake City Family Dentistry is 1912572124. It was assigned to this organization in the NPPES registry on May 21, 2021.

Where is Lake City Family Dentistry located?

Lake City Family Dentistry is located at 213 S Canal St, Lake City, MI 49651. The listed phone number is (231) 839-2630.

What is Lake City Family Dentistry's specialty?

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

What insurance does Lake City Family Dentistry accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Lake City Family Dentistry 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 Lake City Family Dentistry was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.