# L'ANSE FAMILY DENTAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205251154
- **Authorized official:** DR. RONALD JAMES CARMODY D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (906) 524-6420

## Contact information

- **Practice address:** 12 S FOURTH ST, L'ANSE, MI 49946
- **Practice address phone:** (906) 524-6420
- **Practice address fax:** (906) 524-6821
- **Mailing address:** P.O. BOX 9, L'ANSE, MI 49946
- **Mailing address phone:** (906) 524-6420
- **Mailing address fax:** (906) 524-6821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901013208 | MI | — |
| 1223G0001X | General Practice Dentistry | 2901020319 | MI | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 06/02/2016