Individual
DR. JOHN TERRY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Mailing address
651 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-2983
(205) 556-2323
(205) 556-2341
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3745
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3745
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000090515
—
AL
Enumeration date
06/07/2006
Last updated
03/15/2016
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