Carlson Dental Office Pa in Fairmont - Dentist
Carlson Dental Office Pa - NPI 1184637258
Carlson Dental Office Pa is a Dentist in Fairmont, Minnesota. Carlson Dental Office Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carlson Dental Office Pa is 1184637258. The last update date is 2020-08-22.
Carlson Dental Office Pa's current location address is 717 S State St, Fairmont, Minnesota. You can contact this provider via phone number 5072381883 and fax number 5072381612. The mailing address for Carlson Dental Office Pa is 717 S State St, Fairmont, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carlson Dental Office Pa |
|---|---|
| Address | 717 S State St, Fairmont, Minnesota |
| Phone Number | 5072381883 |
| Fax Number | 5072381612 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Carlson F Paul |
| Credentials | DDS |
| Telephone Number | 5072381883 |
NPI Number Detail
| NPI Number | 1184637258 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 717 S State St |
|---|---|
| City | Fairmont |
| State | Minnesota (MN) |
| Post Code | 560314469 |
| Phone Number | 5072381883 |
| Fax Number | 5072381612 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6851 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Carlson Dental Office Pa by the Centers for Medicare & Medicaid Services?
The Carlson Dental Office Pa has been assigned the NPI (National Provider Identifier) 1184637258 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Carlson Dental Office Pa is physically located?
The Carlson Dental Office Pa is physically situated at the following address: 717 S State St, Fairmont, MN, 560314469.
What is Carlson Dental Office Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carlson Dental Office Pa is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184637258 to Carlson Dental Office Pa?
The Centers for Medicare & Medicaid Services assigned the 1184637258 to Carlson Dental Office Pa on 2006-08-13.
When was the information regarding Carlson Dental Office Pa most recently updated?
The details pertaining to the Carlson Dental Office Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.