Individual ProviderCarl M PogoncheffDentistDental ProvidersPractice Address2628 Lake Lansing Rd Ste 101, Lansing, MI 48912-3668(517) 482-5636PECOS EnrollmentBased on the most recent information from CMS, provider Carl M Pogoncheff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1508091075Provider TypeIndividualFull NamePogoncheff, Carl MTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date5/27/2009Last Updated5/27/2009Contact InformationPractice LocationPractice Address2628 Lake Lansing Rd Ste 101, Lansing, MI 48912-3668Phone(517) 482-5636Fax(517) 482-5637Mailing LocationMailing Address2628 Lake Lansing Rd Ste 101, Lansing, MI 48912-3668Phone(517) 482-5636Fax(517) 482-5637Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense2901020009Michigan