MEDICARE: DR. KEVIN BRUCE CAROLAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901012677	MI

General Provider Information

NPI Number	:	1184629453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN BRUCE CAROLAN D.D.S.

Provider Business Mailing Address
First Line	:	901 SUPERIOR ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3746
Country	:	US
Telephone Number	:	810-982-7682
Fax Number	:	810-984-2653

Provider Business Practice Location Address
First Line	:	901 SUPERIOR ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3746
Country	:	US
Telephone Number	:	810-982-7682
Fax Number	:	810-984-2653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053609008 — DR. ANDREW RYAN CAROLAN D.D.S.
Practice Location Address:

901 SUPERIOR ST
PORT HURON, MI
48060-3746

Practice Phone: 810-982-7682
Practice Fax:

1164778346 — CAROLAN FAMILY DENTISTRY
Practice Location Address:

901 SUPERIOR ST
PORT HURON, MI
48060-3746

Practice Phone: 810-982-7682
Practice Fax: 810-984-2653

1245854686 — YVES CARMEN DORSAINVIL
Practice Location Address:

631 SW SARDINIA AVE
PORT SAINT LUCIE, FL
34953-3746

Practice Phone: 561-541-0059
Practice Fax:

1811829963 — ANDREA ANGLEBRANDT
Practice Location Address:

520 SUPERIOR ST
PORT HURON, MI
48060-3838

Practice Phone: 810-984-4202
Practice Fax:

1730194861 — WALGREEN CO
Practice Location Address:

1617 10TH ST
PORT HURON, MI
48060-5844

Practice Phone: 810-987-5083
Practice Fax:

1073520060 — WALGREEN CO
Practice Location Address:

3990 24TH AVE
PORT HURON, MI
48060-1527

Practice Phone: 810-987-4679
Practice Fax:

Directions to “ DR. KEVIN BRUCE CAROLAN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.