Carolan Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAROLAN FAMILY DENTISTRY

Practice address

901 Superior St
Port Huron, MI 48060-3746

Phone

(810) 982-7682

Fax

(810) 984-2653

NPI assigned

Jul 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin B Carolan, D.D.S.NPI 1184629453

Title

Ceo

Phone

(810) 982-7682

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Bruce Carolan, D.D.S.

  • General Practice Dentistry
  • Port Huron, MI
  • NPI 1184629453
  NPD (past) Authorized official
• Andrew Ryan Carolan, D.D.S.

  • General Practice Dentistry
  • Port Huron, MI
  • NPI 1053609008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1164778346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUPERIOR ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603746",
            "telephone_number": "810-982-7682",
            "fax_number": "810-984-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUPERIOR ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603746",
            "telephone_number": "810-982-7682",
            "fax_number": "810-984-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "CAROLAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-982-7682",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiology Assoc of Port Huron
• Carl E. Sattelberg D.D.S. P.C.
• George J Carley Jr., D.O.
• Natalie Jean Carlisle, AU.D.
• Paula Renee Carnaghi
• Andrew Ryan Carolan, D.D.S.
• Kevin Bruce Carolan, D.D.S.
• Jeffery Scott Carpenter, D.C.
• Joseph Ford Carpenter, R.PH.
• Shelley Carrier

• General Practice Dentistry in Port Huron, MI
• Providers in Port Huron, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.