| Carlyon Dentistry | |
|
1106 1st Ave S Escanaba MI 49829-3411 | |
| (906) 786-3891 | |
| (906) 786-3829 |
| Full Name | Carlyon Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1106 1st Ave S, Escanaba, Michigan |
| Authorized Official Name and Position | Ann M Nordin (OFFICE MANAGER) |
| Authorized Official Contact | 9067863891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlyon Dentistry 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 | Carlyon Dentistry 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 |
| NPI Number | 1699224394 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699224394 | NPI | - | NPPES |
| 1043310113 | Other | MI | DENTIST |
| 1003279100 | Other | MI | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012008 (Michigan) | Primary |
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