Bruce R Carlyon Dds | |
1106 1st Ave S Escanaba MI 49829-3411 | |
(906) 786-3891 | |
(906) 786-3829 |
Full Name | Bruce R Carlyon Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 1106 1st Ave S, Escanaba, Michigan |
Authorized Official Name and Position | Bruce R Carlyon (OWNER) |
Authorized Official Contact | 9067863891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bruce R Carlyon Dds 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 | Bruce R Carlyon Dds 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 |
NPI Number | 1942819420 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 07/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942819420 | NPI | - | NPPES |
1043310113 | Medicaid | MI | |
1003279100 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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