NPI 1639287535 · live from the CMS NPI Registry
David Charles Carlson, DDS
Dentist in Tioga, ND. National Provider Identifier 1639287535, active.
NPI record
| NPI | 1639287535 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 111 Main Street, Tioga, ND 58852 |
| Practice phone | 701-664-2582 |
| Mailing address | Po Box 758, 111 Main, Tioga, ND 58852 |
| Enumerated | August 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | David Carlson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1718 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.