Bruce J. Pavlov, DDS

Dentist · Marquette, MI

Organization Active NPI

NPI number 1912588625

Practice location

1101 Lincoln Ave
Marquette, MI 49855-2622
Phone
(906) 225-0617
Fax
(906) 225-1777

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NPI record

NPI
1912588625
Entity type
Organization (Type 2)
Enumeration date
April 15, 2021
Last updated
April 21, 2021
Certified
April 21, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —

Authorized official

Name
Rachelle Beerling
Title
Office Manager
Phone
(906) 225-0617

About Bruce J. Pavlov, DDS

Bruce J. Pavlov, DDS is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1101 Lincoln Ave, Marquette, MI 49855-2622. The NPI number 1912588625 was assigned on April 15, 2021 and the record was last updated on April 21, 2021.

The authorized official for this organization is Rachelle Beerling, Office Manager.

Frequently asked questions

What is the NPI number of Bruce J. Pavlov, DDS?

The NPI number is 1912588625.

What is the phone number of Bruce J. Pavlov, DDS?

The phone number listed for the practice location is (906) 225-0617.

Where is Bruce J. Pavlov, DDS located?

1101 Lincoln Ave, Marquette, MI 49855-2622.

What is the taxonomy code for Bruce J. Pavlov, DDS?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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