Individual
DR. CARSON MYLES CRUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
162 ANA DR, FLORENCE, AL 35630-1759
(256) 766-0270
(256) 766-8328
Mailing address
162 ANA DR, FLORENCE, AL 35630-1759
(256) 766-0270
(256) 766-8328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3799-15
MS
1223P0221X
Pediatric Dentistry
0442000266
VA
1223P0221X
Pediatric Dentistry
6838
LA
1223P0221X
Pediatric Dentistry
Primary
D.0006743-C1
AL
Other
Enumeration date
06/22/2015
Last updated
07/28/2020
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