Lake City Family Dentistry

LBN: Lake City Family Dentistry
Lake City Family Dentistry is an health care organization with primary practice located at 213 S Canal St , Lake City MI 49651-8865. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lake City Family Dentistry can be contacted via phone (231) 839-2630, or through Carpenter-Thompson, Mitch Ty via phone (231) 839-2630.

Contact Information

Primary practice address
213 S Canal St Lake City MI 49651-8865
Phone: (231) 839-2630
Fax: (231) 839-5751
Website:
Map and Directions
Authorized official contact:
Name: Carpenter-Thompson, Mitch Ty Doctor of Dental Medicine (DMD)
Phone: (231) 839-2630

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1912572124
LBN Legal business name Lake City Family Dentistry
DBA Doing business as
Authorized official Carpenter-Thompson, Mitch Ty Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912572124 NPPES
Michigan Other 600446 STATE LICENSE

Popular Providers