Individual
MARK TAGUE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 WALTER REED RD, SUITE 200, FAYETTEVILLE, NC 28304-4409
(910) 864-9884
Mailing address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-0303
(336) 777-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1587738
UNITED CONCORDIA
—
05
—
5903721
—
NC
01
—
9026X
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us