Susan Helen Carron in Novi - Pediatric Dentistry

Susan Helen Carron - NPI 1841245495

Susan Helen Carron is a Pediatric Dentistry in Novi, Michigan. Susan Helen Carron practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Susan Helen Carron is 1841245495. The last update date is 2007-07-08.

Susan Helen Carron's current location address is 40105 Grand River Ave, Novi, Michigan. You can contact this provider via phone number 2484783232 and fax number 2484788018. The mailing address for Susan Helen Carron is 40105 Grand River Ave, Novi, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Helen Carron
Address 40105 Grand River Ave, Novi, Michigan
Phone Number 2484783232
Fax Number 2484788018
Sole Proprietor X
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1841245495
Provider Enumeration Date 2006-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 40105 Grand River Ave
City Novi
State Michigan (MI)
Post Code 483752115
Phone Number 2484783232
Fax Number 2484788018

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2901011539
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
613152 MI UNITED CONCORDIA
D802-825 MI BLUE CROSS BLUE SHIELD

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FAQs about Susan Helen Carron

What is the unique identifier code issued to Susan Helen Carron by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Helen Carron has been assigned the NPI (National Provider Identifier) 1841245495. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Susan Helen Carron's facilities are situated?

The facilities of Susan Helen Carron are physically located at the following address: 40105 Grand River Ave, Novi, MI, 483752115.

What is Susan Helen Carron's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Helen Carron is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841245495 to Susan Helen Carron?

The Centers for Medicare & Medicaid Services originally issued the 1841245495 to Susan Helen Carron on 2006-05-23.

As of what date were the details related to Susan Helen Carron most recently updated or revised?

The information pertaining to Susan Helen Carron, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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