Search › Michigan › 122300000X
Jacob Carlisle, DDS
NPI 1437718301 · on the registry since 2019 · sole proprietor
Practice
- Address
- 800 M 139
Benton Harbor, MI 49022 - Phone
- (855) 869-6900
- Organisation at this address
- Pgpa, Llc
Lakeland Medical PracticesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan