BRUCE J. PAVLOV, DDS
NPI 1912588625
Dentist in Marquette, MI

Active since April 15, 2021
1101 LINCOLN AVE, MARQUETTE, MI 49855(906) 225-0617(906) 225-1777 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 21, 2021, Apr 15, 2021 (2 updates tracked since 2021).

About Bruce J. Pavlov, Dds NPPES

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

BRUCE J. PAVLOV, DDS (NPI 1912588625) is a healthcare organization registered as a dentist in Marquette, Michigan and active in the NPI registry since April 2021. The organization lists Rachelle Beerling, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912588625
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBRUCE J. PAVLOV, DDS
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
Organization SubpartNo
Authorized OfficialRachelle BeerlingOffice Manager · (906) 225-0617
Enumeration DateApril 15, 2021
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
NPI 1912588625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1101 LINCOLN AVE, Marquette, MI 49855

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (General Practice)
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 J. Pavlov, Dds's NPI number?

The NPI number for Bruce J. Pavlov, Dds is 1912588625. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Bruce J. Pavlov, Dds located?

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

What is Bruce J. Pavlov, Dds's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bruce J. Pavlov, Dds was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.