| Lifelong Family Dentistry Pllc | |
|
8930 Macomb St Grosse Ile MI 48138-1577 | |
| (734) 676-2288 | |
| Not Available |
| Full Name | Lifelong Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8930 Macomb St, Grosse Ile, Michigan |
| Authorized Official Name and Position | Brian M. Long (OWNER) |
| Authorized Official Contact | 7346162288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Family Dentistry Pllc 8930 Macomb St Grosse Ile MI 48138-1577 Ph: (734) 676-2288 | Lifelong Family Dentistry Pllc 8930 Macomb St Grosse Ile MI 48138-1577 Ph: (734) 676-2288 |
| NPI Number | 1205144417 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205144417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016216 (Michigan) | Primary |
Beverly T Morris Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24201 Meridian Rd, Grosse Ile, MI 48138 Phone: 734-692-0102 Fax: 734-692-1541 | |
Michael J Vilag Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24201 Meridian Rd, Grosse Ile, MI 48138 Phone: 734-692-0102 Fax: 734-692-1541 | |
Uday Family Dentistry, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8930 Macomb St, Grosse Ile, MI 48138 Phone: 734-676-2288 |