LIFETIME FAMILY DENTISTRY OF TWO RIVERS
NPI 1972892214
Dentist - General Practice in Two Rivers, WI

Active since April 06, 2011
1509 19TH ST, TWO RIVERS, WI 54241(920) 794-8947(920) 793-8463 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Family Dentistry Of Two Rivers NPPES

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

LIFETIME FAMILY DENTISTRY OF TWO RIVERS (NPI 1972892214) is a healthcare organization registered as a general practice in Two Rivers, Wisconsin and active in the NPI registry since April 2011. The organization lists Timothy Buck, Owner, as its authorized official.

NPPES Registry Identity

NPI1972892214
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME FAMILY DENTISTRY OF TWO RIVERS
Location Address1509 19TH STTwo Rivers, WI 54241-2628
Mailing Address1509 19th StTwo Rivers, WI 54241-2628 · (920) 794-8947 · Fax (920) 793-8463
Fax(920) 793-8463
Organization SubpartNo
Authorized OfficialTimothy BuckOwner · (608) 220-1168
Enumeration DateApril 6, 2011
NPI 1972892214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 3639015
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.
1509 19TH ST, Two Rivers, WI 54241

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
1509 19TH ST
TWO RIVERS, WI 54241

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 Family Dentistry Of Two Rivers's NPI number?

The NPI number for Lifetime Family Dentistry Of Two Rivers is 1972892214. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Lifetime Family Dentistry Of Two Rivers located?

Lifetime Family Dentistry Of Two Rivers is located at 1509 19th St, Two Rivers, WI 54241. The listed phone number is (920) 794-8947.

What is Lifetime Family Dentistry Of Two Rivers'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 Family Dentistry Of Two Rivers was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.