Bruce R Carlyon in Escanaba - General Practice

Bruce R Carlyon - NPI 1043310113

Bruce R Carlyon is a General Practice in Escanaba, Michigan. Bruce R Carlyon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce R Carlyon is 1043310113. The last update date is 2007-07-08.

Bruce R Carlyon's current location address is 1106 1st Ave S, Escanaba, Michigan. You can contact this provider via phone number 9067863891 and fax number 9067863829. The mailing address for Bruce R Carlyon is 1106 1st Ave S, Escanaba, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce R Carlyon
Address 1106 1st Ave S, Escanaba, Michigan
Phone Number 9067863891
Fax Number 9067863829
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1043310113
Provider Enumeration Date 2006-09-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1106 1st Ave S
City Escanaba
State Michigan (MI)
Post Code 498293411
Phone Number 9067863891
Fax Number 9067863829

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4047589 MI --

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FAQs about Bruce R Carlyon

What is the unique provider identifier assigned to Bruce R Carlyon?

The Bruce R Carlyon has been issued the NPI (National Provider Identifier) 1043310113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bruce R Carlyon's facilities are situated?

The facilities of Bruce R Carlyon are physically located at the following address: 1106 1St Ave S, Escanaba, MI, 498293411.

What is Bruce R Carlyon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce R Carlyon is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

When was the Bruce R Carlyon's 1043310113 issued?

The Bruce R Carlyon's 1043310113 was issued on 2006-09-25.

As of what date were the Bruce R Carlyon's details last updated?

The information pertaining to the Bruce R Carlyon, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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