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Contact Information

BRANIMIR A LACKOVIC, DDS
101 S FRONT ST STE 505
MARQUETTE, MI49855
 Phone: 906-225-4520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRANIMIR A LACKOVIC · (Male)

NPI Number 1780720482
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/29/2007
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • HI License # DT2286
  • MI License # 2901022629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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