Mitch Ty Carpenter-thompson is a Lake City, Michigan based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mitch Ty Carpenter-thompson is 600446 for General Practice Dentistry in Michigan. His current practice location is 213 S Canal St, Lake City. Patients can reach him at 231-839-2630.
Mitch Ty Carpenter-thompson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mitch Ty Carpenter-thompson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mitch Ty Carpenter-thompson
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
213 S Canal St, Lake City, Michigan, 49651-8865
Phone:
231-839-2630
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134746290
NPI Enumeration Date:
06 Jul, 2020
NPI Last Update On:
07 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitch Ty Carpenter-thompson are as mentioned below.
License Number
Specialization
State
Status
600446
General Practice Dentistry
Michigan
Primary
014317
Dentistry
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mitch Ty Carpenter-thompson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
600446
Other
Michigan
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 719, Lake City, Michigan
Zip:
49651-0719
Phone Number:
231-839-2630
Patients can reach Mitch Ty Carpenter-thompson at 213 S Canal St, Lake City, Michigan or can call to book an appointment on 231-839-2630. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.