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Individual
ERIC R. CARLSON
Active
Individual
ERIC R. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35.147724
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7998
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD38394
TN
208600000X
Surgery Physician
35.147724
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3227456
—
TN
Enumeration date
10/02/2006
Last updated
01/21/2026
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