OrganizationActive
Lifetime Dental Care of Michigan, PC
NPI 1619739679 · General Practice Dentistry · Portage, MI
Lifetime Dental Care of Michigan, PC is a General Practice Dentistry organization in Portage, MI (NPI 1619739679).
Provider details
- NPI number
- 1619739679
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Lifetime Dental Care of Michigan, PC
- Organization subpart
- Yes
- Authorized official
- Cemyira Mcdougal, Credentialing Coordinator(217) 764-8609
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
8110 Cooley Dr
Portage, MI 49024-4046
Phone: (269) 382-3125
Fax: (269) 382-3125
Street-level locationGet directions
Mailing address
8110 Cooley Dr
Portage, MI 49024-4046
Other names (DBA / former)
- Doing business as
- Timberview Dental Care
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Lifetime Dental Care of Michigan, PC's NPI number?
- Lifetime Dental Care of Michigan, PC's National Provider Identifier (NPI) is 1619739679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Dental Care of Michigan, PC?
- Lifetime Dental Care of Michigan, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lifetime Dental Care of Michigan, PC located?
- Lifetime Dental Care of Michigan, PC's practice location on file with NPPES is 8110 Cooley Dr, Portage, MI 49024-4046.
- What is Lifetime Dental Care of Michigan, PC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Dental Care of Michigan, PC is (269) 382-3125.
- Who is the authorized official for Lifetime Dental Care of Michigan, PC?
- The authorized official listed on Lifetime Dental Care of Michigan, PC'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, PC's NPI active?
- Yes — Lifetime Dental Care of Michigan, PC's NPI (1619739679) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.