| Bruce R Carlyon Dds | |
|
1106 1st Ave S Escanaba MI 49829-3411 | |
| (906) 786-3891 | |
| (906) 786-3829 |
| Full Name | Bruce R Carlyon Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1106 1st Ave S, Escanaba, Michigan |
| Authorized Official Name and Position | Bruce R Carlyon (OWNER) |
| Authorized Official Contact | 9067863891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce R Carlyon Dds 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 | Bruce R Carlyon Dds 1106 1st Ave S Escanaba MI 49829-3411 Ph: (906) 786-3891 |
| NPI Number | 1942819420 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942819420 | NPI | - | NPPES |
| 1043310113 | Medicaid | MI | |
| 1003279100 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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