# D CHASE CARLSON DMD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Lake Dental, South Lake Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891486577
- **Authorized official:** DAVID CHASE CARLSON DMD (DENTIST)
- **Authorized official phone:** (801) 885-6460

## Contact information

- **Practice address:** 10515 20TH ST SE STE 201, LAKE STEVENS, WA 98258-4767
- **Practice address phone:** (801) 885-6460
- **Mailing address:** 791 E 1150 N, PLEASANT GROVE, UT 84062-1952
- **Mailing address phone:** (801) 885-6460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 05/15/2023