Fredrick D Carlson in Fairmont - Dentist

Fredrick D Carlson - NPI 1063425130

Fredrick D Carlson is a Dentist in Fairmont, Minnesota. Fredrick D Carlson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fredrick D Carlson is 1063425130. The last update date is 2007-07-08.

Fredrick D Carlson'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 Fredrick D Carlson is 717 S State St, Fairmont, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Fredrick D Carlson
Address 717 S State St, Fairmont, Minnesota
Phone Number 5072381883
Fax Number 5072381612
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063425130
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

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
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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FAQs about Fredrick D Carlson

What is the unique 10-digit identifier code issued to Fredrick D Carlson by the Centers for Medicare & Medicaid Services?

The Fredrick D Carlson has been assigned the NPI (National Provider Identifier) 1063425130 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Fredrick D Carlson is located?

The Fredrick D Carlson is situated at the following address: 717 S State St, Fairmont, MN, 560314469.

What is the area of specialization for Fredrick D Carlson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Fredrick D Carlson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063425130 to Fredrick D Carlson?

The Fredrick D Carlson received its 1063425130 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.

When was the information related to Fredrick D Carlson most recently updated or refreshed?

The details pertaining to the Fredrick D Carlson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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