| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 06/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205251154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901013208 (Michigan) | Secondary |
| 1223G0001X | Dentist - General Practice | 2901020319 (Michigan) | Primary |