NPI 1689023129 · live from the CMS NPI Registry
Dr. David C Carlson D.D.S PC
Dentist, General Practice in Tioga, ND. National Provider Identifier 1689023129, active.
NPI record
| NPI | 1689023129 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 111 Main St, B 758, Tioga, ND 58852 |
| Practice phone | 701-664-2582 |
| Mailing address | 111 Main St, Po Box 758, Tioga, ND 58852 |
| Enumerated | June 6, 2016 |
| Last updated | June 6, 2016 |
| Authorized official | David Carlson, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1718 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.