BRUCE R CARLYON DDS
NPI 1942819420
Dentist - General Practice in Escanaba, MI

Active since July 30, 2020
1106 1ST AVE S, ESCANABA, MI 49829(906) 786-3891(906) 786-3829 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bruce R Carlyon Dds NPPES

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

BRUCE R CARLYON DDS (NPI 1942819420), doing business as Carlyon Dentistry, is a healthcare organization registered as a general practice in Escanaba, Michigan and active in the NPI registry since July 2020. The organization lists Bruce R Carlyon, Owner, as its authorized official.

NPPES Registry Identity

NPI1942819420
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRUCE R CARLYON DDS
Location Address1106 1ST AVE SEscanaba, MI 49829-3411
Mailing Address1106 1st Ave SEscanaba, MI 49829-3411 · (906) 786-3891
Fax(906) 786-3829
Organization SubpartNo
Authorized OfficialBruce R CarlyonOwner · (906) 786-3891
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1942819420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1106 1ST AVE S, Escanaba, MI 49829

Other Names 1

Doing Business AsCarlyon Dentistry

Other Identifiers 2

Medicaid1043310113MI
Medicaid1003279100MI

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 4

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

Dentist
1106 1ST AVE S
ESCANABA, MI 49829
Dentist (General Practice)
1106 1ST AVE S
ESCANABA, MI 49829
Dentist (General Practice)
1106 1ST AVE S
ESCANABA, MI 49829
Dentist
1106 1ST AVE S
ESCANABA, MI 49829

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 R Carlyon Dds's NPI number?

The NPI number for Bruce R Carlyon Dds is 1942819420. It was assigned to this organization in the NPPES registry on July 30, 2020. The provider is doing business as Carlyon Dentistry.

Where is Bruce R Carlyon Dds located?

Bruce R Carlyon Dds is located at 1106 1st Ave S, Escanaba, MI 49829. The listed phone number is (906) 786-3891.

What is Bruce R Carlyon Dds'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 R Carlyon Dds was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.