Individual
DR. KERRY S. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1619 W MAIN ST STE A, CLARKSVILLE, AR 72830-3225
(479) 754-2042
(479) 754-2429
Mailing address
1619 W MAIN ST STE A, CLARKSVILLE, AR 72830-3225
(479) 754-2042
(479) 754-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6583
KS
Other
Enumeration date
02/01/2006
Last updated
10/28/2020
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