MEDICARE: DR. ALLISON A CAREY 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	2901019792	MI

General Provider Information

NPI Number	:	1134382252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON A CAREY D.D.S.

Provider Business Mailing Address
First Line	:	2163 GEORGETOWN BLVD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-1534
Country	:	US
Telephone Number	:	734-330-7306
Fax Number	:

Provider Business Practice Location Address
First Line	:	32540 WARREN RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-2910
Country	:	US
Telephone Number	:	734-330-7306
Fax Number	:

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	09/12/2013

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