L'anse Family Dental, Pllc | |
12 S Fourth St L'anse MI 49946 | |
(906) 524-6420 | |
(906) 524-6821 |
Full Name | L'anse Family Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 12 S Fourth St, L'anse, Michigan |
Authorized Official Name and Position | Ronald James Carmody (OWNER/DENTIST) |
Authorized Official Contact | 9065246420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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L'anse Family Dental, Pllc P.o. Box 9 L'anse MI 49946 Ph: (906) 524-6420 | L'anse Family Dental, Pllc 12 S Fourth St L'anse MI 49946 Ph: (906) 524-6420 |
NPI Number | 1205251154 |
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Provider Enumeration Date | 03/03/2014 |
Last Update Date | 06/02/2016 |
Identifier | Type | State | Issuer |
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1205251154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901020319 (Michigan) | Primary |
1223G0001X | Dentist - General Practice | 2901013208 (Michigan) | Secondary |