| Susan H. Carron, D.d.s., M.s. | |
|
40105 Grand River Ave Ste 2 Novi MI 48375-2170 | |
| (248) 478-3232 | |
| Not Available |
| Full Name | Susan H. Carron, D.d.s., M.s. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 40105 Grand River Ave Ste 2, Novi, Michigan |
| Authorized Official Name and Position | Daphne West (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 2484783232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan H. Carron, D.d.s., M.s. 40105 Grand River Ave Ste 2 Novi MI 48375-2170 Ph: (248) 478-3232 | Susan H. Carron, D.d.s., M.s. 40105 Grand River Ave Ste 2 Novi MI 48375-2170 Ph: (248) 478-3232 |
| NPI Number | 1265682900 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265682900 | NPI | - | NPPES |
| 2669122 | Medicaid | MI | |
| 2823071 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901011539 (Michigan) | Primary |
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