Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lifetime Dental of Macomb PLLC

Organization General Practice Dentistry · NPI 1710816459

Lifetime Dental of Macomb PLLC provides General Practice Dentistry in Saint Clair Shores, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28050 Harper Ave
Saint Clair Shores, MI 48081-1562
Phone: (586) 774-6655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1710816459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ousachi — Director Of Operations · (586) 940-0123
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3024 Mangrove Dr, Sterling Heights, MI 48314-4407

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