Bruce John Pavlov in Marquette - General Practice
Bruce John Pavlov - NPI 1215997465
Bruce John Pavlov is a General Practice in Marquette, Michigan. Bruce John Pavlov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce John Pavlov is 1215997465. The last update date is 2007-07-08.
Bruce John Pavlov's current location address is 1101 Lincoln Ave, Marquette, Michigan. You can contact this provider via phone number 9062250617 and fax number 9062251777. The mailing address for Bruce John Pavlov is 1101 Lincoln Ave, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce John Pavlov |
|---|---|
| Address | 1101 Lincoln Ave, Marquette, Michigan |
| Phone Number | 9062250617 |
| Fax Number | 9062251777 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1215997465 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 Lincoln Ave |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 498552622 |
| Phone Number | 9062250617 |
| Fax Number | 9062251777 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901016634 |
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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. |
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What is the unique 10-digit identification code issued to Bruce John Pavlov by the Centers for Medicare & Medicaid Services?
The Bruce John Pavlov has been assigned the NPI (National Provider Identifier) 1215997465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bruce John Pavlov located?
The Bruce John Pavlov is located at 1101 Lincoln Ave, Marquette, MI 498552622.
What is Bruce John Pavlov's area of expertise and its corresponding taxonomy classification?
The Bruce John Pavlov's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When was the Bruce John Pavlov's 1215997465 issued?
The Bruce John Pavlov's 1215997465 was issued on 2006-03-23.
When was the Bruce John Pavlov's information last updated?
The Bruce John Pavlov's information was last updated on 2007-07-08.