Carmichael, Lonny D

Carmichael, Lonny D is an individual health care provider with primary practice located at 3592 S Atherton Blvd Suite 107, Gilbert AZ 85297-7443. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Carmichael, Lonny D can be contacted via phone (480) 889-1877.

Contact Information

Primary practice address
3592 S Atherton Blvd Suite 107 Gilbert AZ 85297-7443
Phone: (480) 889-1877
Fax: (480) 889-1876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401411545 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 7460 Arizona

Profile Details

NPI number 1043352412
LBN Legal business name Carmichael, Lonny D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 7th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043352412 NPPES
Arizona MEDICAID 348451

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