MEDICARE: DR. DAVID J CARLISLE DDS

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	2901602014	MI

General Provider Information

NPI Number	:	1326157413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J CARLISLE DDS

Provider Business Mailing Address
First Line	:	330 FOREST AVE
Second Line	:
City	:	FRANKFORT
State	:	MI
Zip	:	49635-9039
Country	:	US
Telephone Number	:	951-522-4253
Fax Number	:

Provider Business Practice Location Address
First Line	:	5217 N ROYAL DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7827
Country	:	US
Telephone Number	:	231-929-3606
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/02/2026

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