Mitch Ty Carpenter-Thompson
Mitch Ty Carpenter-Thompson is a Dentist in Lake City, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
213 S Canal StLake City, MI 49651-8865
Phone: (231) 839-2630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 600446 (MI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 014317 (MI) |
Record details
| NPI number | 1134746290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2020 |
| Last updated in NPPES | October 7, 2021 |
| Certification date | October 7, 2021 |