Mr Timothy Jon Carlson, DDS is a
Dentist - General Practice based in Hancock, Minnesota. Mr Timothy Jon Carlson is licensed to practice in Minnesota (license number D10212) and his current practice location is
657 Atlantic Ave, Hancock Dental Clilnic, P.a, Hancock, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 392-5300.
NPI number for Mr Timothy Jon Carlson is 1306931720 and his current mailing address is 657 Atlantic Ave., Hancock Dental Clilnic, P.a., Hancock, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306931720.
Healthcare Provider's Profile
| Full Name | Mr Timothy Jon Carlson |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 657 Atlantic Ave, Hancock, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306931720
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Timothy Jon Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306931720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D10212 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy Jon Carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Timothy Jon Carlson, DDS
657 Atlantic Ave., Hancock Dental Clilnic, P.a.,
Hancock, MN 56244
Ph: (320) 392-5300 | Mr Timothy Jon Carlson, DDS
657 Atlantic Ave, Hancock Dental Clilnic, P.a,
Hancock, MN 56244
Ph: (320) 392-5300 |
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