Kenneth Raymond Carlson in Cortez - General Practice
Kenneth Raymond Carlson - NPI 1336147313
Kenneth Raymond Carlson is a General Practice in Cortez, Colorado. Kenneth Raymond Carlson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Raymond Carlson is 1336147313. The last update date is 2007-07-08.
Kenneth Raymond Carlson's current location address is 115 N Beech St, Cortez, Colorado. You can contact this provider via phone number 9705654448 and fax number 9705657211. The mailing address for Kenneth Raymond Carlson is 115 N Beech St, Cortez, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Raymond Carlson |
|---|---|
| Address | 115 N Beech St, Cortez, Colorado |
| Phone Number | 9705654448 |
| Fax Number | 9705657211 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336147313 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 N Beech St |
|---|---|
| City | Cortez |
| State | Colorado (CO) |
| Post Code | 813213207 |
| Phone Number | 9705654448 |
| Fax Number | 9705657211 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | HD104307CO |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Kenneth Raymond Carlson by the Centers for Medicare & Medicaid Services?
The Kenneth Raymond Carlson has been issued the NPI (National Provider Identifier) 1336147313 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kenneth Raymond Carlson?
The Kenneth Raymond Carlson is physically situated at 115 N Beech St, in the city of Cortez, state of CO, with the postal code 813213207.
What is the Kenneth Raymond Carlson's area of specialization and corresponding taxonomy classification?
The Kenneth Raymond Carlson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336147313 to Kenneth Raymond Carlson?
The Centers for Medicare & Medicaid Services originally issued the 1336147313 to Kenneth Raymond Carlson on 2005-07-13.
As of what date were the details related to Kenneth Raymond Carlson most recently updated or revised?
The information pertaining to Kenneth Raymond Carlson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.