| Dr. Daniel W. Carlson D.d.s., Dentistry Inc. | |
|
102 22nd Ave S Brookings SD 57006-2654 | |
| (605) 697-6212 | |
| Not Available |
| Full Name | Dr. Daniel W. Carlson D.d.s., Dentistry Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 22nd Ave S, Brookings, South Dakota |
| Authorized Official Name and Position | Danielw William Carlson (DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 6056976212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Daniel W. Carlson D.d.s., Dentistry Inc. 22089 471st Ave Brookings SD 57006-7139 Ph: (605) 695-3117 | Dr. Daniel W. Carlson D.d.s., Dentistry Inc. 102 22nd Ave S Brookings SD 57006-2654 Ph: (605) 697-6212 |
| NPI Number | 1366835019 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366835019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M409 (South Dakota) | Primary |
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