NPIMap

Organization Active NPI

Lakeshore Family Dental Care

  • Dental Clinic/Center
  • Whitehall, MI
National Provider Identifier
1013571322
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKESHORE FAMILY DENTAL CARE
Practice address
504 E Colby St
Whitehall, MI 49461-1165
Phone
(231) 894-8814
Fax
(231) 893-6505
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Britney Dice
Title
Office Manager
Phone
(231) 894-8814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

504 E Colby St
Whitehall, MI 49461-1165

Mailing address

504 E Colby St
Whitehall, MI 49461-1165
Phone (231) 894-8814

National Provider Directory

National Provider Directory

Locations

504 E Colby St
Whitehall, MI 49461
Phone (231) 894-2488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1013571322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611165",
            "telephone_number": "231-894-8814",
            "fax_number": "231-893-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611165",
            "telephone_number": "231-894-8814",
            "fax_number": "231-893-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "DICE",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-894-8814"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.