DR. CARSON MYLES CRUISE DMD NPI 1104208651

NPI Information

NPI: 1104208651
Provider Name: DR. CARSON MYLES CRUISE, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
162 ANA DR
FLORENCE, AL
ZIP 35630
Phone: (256) 766-0270
Get Directions

DR. Carson Myles Cruise, DMD is a pediatric dentistry dentist in Florence, AL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Carson Myles Cruise, DMD NPI is 1104208651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

162 ANA DR
FLORENCE, AL
ZIP 35630-759
Phone: (256) 766-0270
Fax: (256) 766-8328

The enumeration date for this NPI number is 6/22/2015 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		3799-15	MISSISSIPPI	No
2	1223P0221X	Dentist	Pediatric Dentistry	0442000266	VIRGINIA	No
3	1223P0221X	Dentist	Pediatric Dentistry	6838	LOUISIANA	No
4	1223P0221X	Dentist	Pediatric Dentistry	D.0006743-C1	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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