# ADRIAN CARLSON & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carlson Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356086979
- **Authorized official:** ADRIAN BRADLEY CARLSON DMD (OWNER/DENTIST)
- **Authorized official phone:** (406) 321-1068

## Contact information

- **Practice address:** 3227 DEAN RD, LAMBERTVILLE, MI 48144-9614
- **Practice address phone:** (406) 321-1068
- **Mailing address:** 2565 W ERIE RD, TEMPERANCE, MI 48182-9433
- **Mailing address phone:** (406) 321-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 04/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2901600758 | MICHIGAN LICENSE | MI |
