# DR. DAVID C CARLSON D.D.S PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689023129
- **Authorized official:** DR. DAVID C CARLSON D.D.S (DENTIST)
- **Authorized official phone:** (701) 664-2582

## Contact information

- **Practice address:** 111 MAIN ST, B 758, TIOGA, ND 58852
- **Practice address phone:** (701) 664-2582
- **Practice address fax:** (701) 664-2581
- **Mailing address:** 111 MAIN ST, PO BOX 758, TIOGA, ND 58852
- **Mailing address phone:** (701) 664-2582
- **Mailing address fax:** (701) 664-2581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1718 | ND | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016