Individual
DR. JENNIE J. CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1035 1ST AVE WEST, FLATHEAD COMMUNITY HEALTH CENTER, KALISPELL, MT 59901-5607
(406) 751-8113
(406) 751-8151
Mailing address
1035 1ST AVE WEST, FLATHEAD COMMUNITY HEALTH CENTER, KALISPELL, MT 59901-5607
(406) 751-8113
(406) 751-8151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2304
MT
1223G0001X
General Practice Dentistry
6280
AZ
1223G0001X
General Practice Dentistry
7536
WA
Other
Enumeration date
05/22/2006
Last updated
02/10/2012
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