Lifetime Dental Care of Michigan, P.C.
NPI 1396555603 · General Practice Dentistry · Commerce Township, MI
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetime Dental Care of Michigan, P.C. is a General Practice Dentistry organization in Commerce Township, MI (NPI 1396555603).
Provider details
- NPI number
- 1396555603
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Lifetime Dental Care of Michigan, P.C.
- Organization subpart
- Yes
- Authorized official
- Cemyira Mcdougal, Credentialing Coordinator(217) 764-8609
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jacobson Dental Group
Registry dates
- Enumerated
- 2025-01-09
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Lifetime Dental Care of Michigan, P.C.'s NPI number?
- Lifetime Dental Care of Michigan, P.C.'s National Provider Identifier (NPI) is 1396555603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Dental Care of Michigan, P.C.?
- Lifetime Dental Care of Michigan, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lifetime Dental Care of Michigan, P.C. located?
- Lifetime Dental Care of Michigan, P.C.'s practice location on file with NPPES is 39890 W 14 Mile Rd, Commerce Township, MI 48390-3911.
- What is Lifetime Dental Care of Michigan, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lifetime Dental Care of Michigan, P.C. is (248) 624-8090.
- Does Lifetime Dental Care of Michigan, P.C. accept Medicare?
- Lifetime Dental Care of Michigan, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetime Dental Care of Michigan, P.C.?
- The authorized official listed on Lifetime Dental Care of Michigan, P.C.'s NPPES record is Cemyira Mcdougal, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Dental Care of Michigan, P.C.'s NPI active?
- Yes — Lifetime Dental Care of Michigan, P.C.'s NPI (1396555603) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.