Individual
DR. TIMOTHY J. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007587
IN
Other
Enumeration date
06/05/2006
Last updated
07/16/2026
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