Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRUCE JOHN PAVLOV D.D.S.
NPI 1215997465
Dentist - General Practice in Marquette, MI

Active since March 23, 2006
1101 LINCOLN AVE, MARQUETTE, MI 49855(906) 225-0617(906) 225-1777 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce John Pavlov D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE JOHN PAVLOV D.D.S. (NPI 1215997465) is an individual general practice provider in Marquette, Michigan, licensed in Michigan (2901016634) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1215997465
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRUCE JOHN PAVLOVCredential: D.D.S.
Location Address1101 LINCOLN AVEMarquette, MI 49855-2622
Mailing Address1101 Lincoln AveMarquette, MI 49855-2622 · (906) 225-0617 · Fax (906) 225-1777
Fax(906) 225-1777
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1215997465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901016634
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.
1101 LINCOLN AVE, Marquette, MI 49855

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1101 LINCOLN AVE
MARQUETTE, MI 49855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Pavlov's NPI number?

The NPI number for Bruce Pavlov is 1215997465. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Bruce Pavlov located?

Bruce Pavlov practices at 1101 Lincoln Ave, Marquette, MI 49855. The listed phone number is (906) 225-0617.

What is Bruce Pavlov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bruce Pavlov was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.