OrganizationActive
Old Mission Peninsula Dentistry Rc
NPI 1497117923 · Dentist · Traverse City, MI
Old Mission Peninsula Dentistry Rc is a Dentist organization in Traverse City, MI (NPI 1497117923).
Provider details
- NPI number
- 1497117923
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Melissa Aylworth, Owner(231) 223-4232
- License
- 2901019846 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
3258 Bowers Harbor Rd
Traverse City, MI 49686-9737
Phone: (231) 223-4232
Fax: (231) 223-9205
Street-level locationGet directions
Mailing address
3258 Bowers Harbor Rd
Traverse City, MI 49686-9737
Other names (DBA / former)
- Doing business as
- Old Mission Dentistry
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2016-03-28
Frequently asked questions
- What is Old Mission Peninsula Dentistry Rc's NPI number?
- Old Mission Peninsula Dentistry Rc's National Provider Identifier (NPI) is 1497117923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Mission Peninsula Dentistry Rc?
- Old Mission Peninsula Dentistry Rc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Old Mission Peninsula Dentistry Rc located?
- Old Mission Peninsula Dentistry Rc's practice location on file with NPPES is 3258 Bowers Harbor Rd, Traverse City, MI 49686-9737.
- What is Old Mission Peninsula Dentistry Rc's phone number?
- The practice phone number listed in the NPPES registry for Old Mission Peninsula Dentistry Rc is (231) 223-4232.
- Who is the authorized official for Old Mission Peninsula Dentistry Rc?
- The authorized official listed on Old Mission Peninsula Dentistry Rc's NPPES record is Melissa Aylworth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Mission Peninsula Dentistry Rc's NPI active?
- Yes — Old Mission Peninsula Dentistry Rc's NPI (1497117923) is active in the NPPES registry as of the last update on 2016-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.