Provider Demographics
NPI:1518519891
Name:BRIAN CARLIN DDS PLC
Entity Type:Organization
Organization Name:BRIAN CARLIN DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-604-0189
Mailing Address - Street 1:1841 NEWMAN RD
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-1122
Mailing Address - Country:US
Mailing Address - Phone:517-349-9692
Mailing Address - Fax:517-349-1231
Practice Address - Street 1:1841 NEWMAN RD
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1122
Practice Address - Country:US
Practice Address - Phone:586-604-0189
Practice Address - Fax:517-349-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty