DR. MARK DAVID CARLSON (NPI# 1083670780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083670780 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID CARLSON |
| Credential | MS DDS |
| Practice Address |
1550 South Union Avenue Suite 250 Tacoma WA 98405-1946 |
| Practice Telephone | 2535724601 |
| Practice Fax Number | 2535724769 |
| Mailing Telephone | 2535724601 |
| Mailing Fax Number | 2535724769 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00005551 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5005491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935082 | Mark Andrew Carlson | Contractor | 29822 Windwood Cir, Temecula, CA 92591-2807 | 2016-11-19 |
| 1265661243 | Mark Frederick Carlson | Speech-Language Pathologist | 1603 Ne 52nd Ave, Portland, OR 97213-2725 | 2009-07-10 |
| 1205095759 | Mark Kent Carlson | Chiropractor | 9437 Ironwood Dr, Frisco, TX 75034-1254 | 2008-06-09 |
| 1851449318 | Mark A. Carlson | Family Medicine | 1400 E. Kincade Street, Mount Vernon, WA 98274-4127 | 2007-01-08 |
| 1184736498 | Mark D Carlson | Internal Medicine | 2401 S Tucker Ave Ste 1, Pittsburg, KS 66762-6619 | 2006-08-31 |
| 1790741049 | Mark Edwin Carlson | Specialist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-04-25 |
| 1609837368 | Mark O. Carlson | Internal Medicine | 1605 Douglas St, Sioux City, IA 51105-1109 | 2006-03-31 |
| 1023008398 | Mark D Carlson | Family Medicine | 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613 | 2005-10-26 |
| 1801437694 | Mark Carlson | Chiropractor | 2377 Cumberland Square Dr, Bettendorf, IA 52722-3251 | 2019-10-02 |
| 1073887444 | Mark Anthony Carlson | Pharmacist | 66 Birdsong Pkwy, Orchard Park, NY 14127-3068 | 2012-03-02 |
| Street Address |
1550 SOUTH UNION AVENUE SUITE 250 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437619 | Tacoma Oral Surgery & Implants | Dentist | 1550 S Union Ave Ste 250, Tacoma, WA 98405-1946 | 2014-08-21 |
| 1366520207 | Andrew A. Vorono, D.d.s., PC | Dentist | 1950 S Cedar St Ste C, Tacoma, WA 98405-2315 | 2006-11-01 |
| 1336148881 | Jerry Lee Hartman | Dentist | 217 Tulalip St Ne, Tacoma, WA 98422-1644 | 2005-07-18 |
| 1811994189 | Andrew Anthony Vorono | Dentist | 1950 S Cedar St, Ste C, Tacoma, WA 98405-2315 | 2005-07-01 |
| 1326464215 | Larry Kuxhausen | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2014-03-15 |
| 1801039144 | Calley Christie | Dentist | 3602 6th Ave Ste 104, Tacoma, WA 98406-5450 | 2009-04-16 |
| 1669512661 | Manuel J La Rosa | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2007-02-07 |
| 1417012436 | Jerre M Griffin | Dentist | 5401 6th Ave, Suite 201, Tacoma, WA 98406 | 2006-12-27 |
| 1396815221 | Sound Oral & Maxillofacial Surgery | Dentist | 1628 S Mildred St, Suite 210, Tacoma, WA 98465-1627 | 2006-11-08 |
| 1710967252 | Mariam Alexes Hamidi | Dentist | Bldg 9900, 2nd Floor, U.S. Army Dental Activity- Ft Lewis, Tacoma, WA 98431-0001 | 2006-01-19 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DR. MARK DAVID CARLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.