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NPI Code Detail

MEDICARE: PASCOE DENTAL LLC

MEDICARE: PASCOE DENTAL LLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1043895386
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASCOE DENTAL LLC
Provider Business Mailing Address
First Line : 4279 W VIENNA RD
Second Line :
City : CLIO
State : MI
Zip : 48420-9440
Country : US
Telephone Number : 810-687-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4279 W VIENNA RD
Second Line :
City : CLIO
State : MI
Zip : 48420-9440
Country : US
Telephone Number : 810-687-2000
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. THOMAS LORIN PASCOE
Credential : DDS
Telephone Number : 586-295-1252
Provider Enumeration Date : 03/17/2021
Last Update Date : 03/30/2021

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Directions to “PASCOE DENTAL LLC ” Practice Location

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