# ERIC R. CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174616171
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 35.147724 | OH | Yes |
| 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

- **Enumeration date:** 10/02/2006
- **Last updated:** 01/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3227456 | — | TN |