IndividualActive
A. Lishawa, D.D.S.
NPI 1013924919 · General Practice Dentistry · Interlochen, MI
Provider details
- NPI number
- 1013924919
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901011409 (MI)
Practice location
2120 M-137
Interlochen Professional Building
Interlochen, MI 49643-0095
Phone: (231) 276-9051
Mailing address
Po Box 95
Interlochen, MI 49643-0095
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.