Individual
ANDREW JOHN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4110 S HIGHLAND DR, SALT LAKE CITY, UT 84124-2676
(801) 278-1164
Mailing address
4110 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-2676
(801) 278-1164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012587
AZ
Other
Enumeration date
07/08/2025
Last updated
06/08/2026
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