WOLF CREEK DENTAL
NPI 1922500917
Dentist - General Practice in Adrian, MI

Active since March 06, 2018
1136 COUNTRY CLUB RD STE B, ADRIAN, MI 49221(517) 263-9022 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wolf Creek Dental NPPES

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

WOLF CREEK DENTAL (NPI 1922500917) is a healthcare organization registered as a general practice in Adrian, Michigan and active in the NPI registry since March 2018. The organization lists Cassandra Petersen, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1922500917
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF MICHIGAN, P.C.
Location Address1136 COUNTRY CLUB RD STE BAdrian, MI 49221-8208
Mailing Address1136 Country Club Rd Ste BAdrian, MI 49221-8208 · (517) 263-9022
Organization SubpartYes
Authorized OfficialCassandra PetersenCredentialing Team Lead · (217) 540-8972
Enumeration DateMarch 6, 2018
NPI 1922500917 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.
1136 COUNTRY CLUB RD STE B, Adrian, MI 49221

Other Names 1

Doing Business AsWolf Creek Dental

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

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

Dentist
1136 COUNTRY CLUB RD STE B
ADRIAN, MI 49221

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, P.C.'s NPI number?

The NPI number for Lifetime Dental Care Of Michigan, P.C. is 1922500917. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as Wolf Creek Dental.

Where is Lifetime Dental Care Of Michigan, P.C. located?

Lifetime Dental Care Of Michigan, P.C. is located at 1136 Country Club Rd Ste B, Adrian, MI 49221. The listed phone number is (517) 263-9022.

What is Lifetime Dental Care Of Michigan, P.C.'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 Care Of Michigan, P.C. was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.