Individual provider · Type 1 NPI
Carson Myles Cruise, DMD
Pediatric Dentistry · Florence, AL
NPI number
1104208651
Active
Practice location
162 Ana Dr
Florence, AL 35630-1759
Fax (256) 766-8328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 3799-15 (MS) |
| Pediatric Dentistry | 1223P0221X | 6838 (LA) |
| Pediatric Dentistry | 1223P0221X | 0442000266 (VA) |
| Pediatric Dentistry Primary | 1223P0221X | D.0006743-C1 (AL) |
Pediatric Dentistry: 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.
3 other providers at this address
Other pediatric dentistry providers in Florence
About NPI 1104208651
Carson Myles Cruise, DMD's National Provider Identifier is 1104208651, issued on Jun 22, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Florence, AL. The record was last updated on Jul 28, 2020.