Gary Leroy Carlson in Minnetonka - Orthodontics And Dentofacial Orthopedics
Gary Leroy Carlson - NPI 1376609412
Gary Leroy Carlson is a Orthodontics And Dentofacial Orthopedics in Minnetonka, Minnesota. Gary Leroy Carlson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gary Leroy Carlson is 1376609412. The last update date is 2007-07-08.
Gary Leroy Carlson's current location address is 17809 Hutchins Dr, Minnetonka, Minnesota. You can contact this provider via phone number 9524743203 and fax number 9524743204. The mailing address for Gary Leroy Carlson is 17809 Hutchins Dr, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Leroy Carlson |
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Address | 17809 Hutchins Dr, Minnetonka, Minnesota |
Phone Number | 9524743203 |
Fax Number | 9524743204 |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1376609412 |
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Provider Enumeration Date | 2006-12-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 17809 Hutchins Dr |
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City | Minnetonka |
State | Minnesota (MN) |
Post Code | 553454100 |
Phone Number | 9524743203 |
Fax Number | 9524743204 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | D6852 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary Leroy Carlson by the Centers for Medicare & Medicaid Services?
The Gary Leroy Carlson has been assigned the NPI (National Provider Identifier) 1376609412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gary Leroy Carlson located?
The Gary Leroy Carlson is located at 17809 Hutchins Dr, Minnetonka, MN 553454100.
What is the Gary Leroy Carlson's specialty and taxonomy code?
The Gary Leroy Carlson's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When did the Gary Leroy Carlson receive its 1376609412?
The Gary Leroy Carlson was issued its 1376609412 on 2006-12-30, which is the date when the organization was assigned this unique identifier.
When was the Gary Leroy Carlson's information last updated?
The Gary Leroy Carlson's information was last updated on 2007-07-08.
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