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General NPI Number Information
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NPI Number | 1679699649
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Entity Type | Organization
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Legal Business Name | BRENT L CAREY, DDS, PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 32540 WARREN RD
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City | WESTLAND
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State | MI
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Zip | 48185-2910
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Country | US
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Telephone | 734-425-7675
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Fax | 734-425-7675
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Provider Business Mailing Address
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Address Line | 32540 WARREN RD
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City | WESTLAND
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State | MI
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Zip | 48185-2910
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Country | US
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Telephone | 734-425-7675
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Fax | 734-425-7675
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENT LEWIS CAREY
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Credential | D.D.S.
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Telephone | 734-425-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | MI
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