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NPI Code Detail

MEDICARE: DR. CAROL ANN TREPANIER D.D.S.

MEDICARE: DR. CAROL ANN TREPANIER 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
1122300000XDentist2901016776MI

General Provider Information

NPI Number : 1932265899
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL ANN TREPANIER D.D.S.
Provider Business Mailing Address
First Line : 854 ST. MARY'S BLVD
Second Line :
City : WINDSOR
State : ON
Zip : N8S2T9
Country : CA
Telephone Number : 519-816-2999
Fax Number :
Provider Business Practice Location Address
First Line : 15510 LIVERNOIS AVE
Second Line :
City : DETROIT
State : MI
Zip : 48238-1343
Country : US
Telephone Number : 313-863-2800
Fax Number : 313-863-5054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 04/06/2009

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