DR. DENNIS LEE CARLSON (NPI# 1225192602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225192602 |
Entity Type | Individual |
Full Name | DR. DENNIS LEE CARLSON |
Credential | DDS |
Practice Address |
302 Chestnut St 200 Tini Square Bldg. Virginia MN 55792-2541 |
Practice Telephone | 2187410089 |
Mailing Telephone | 2187410089 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D7791 | MN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700073467 | Dennis Colman Carlson | Chiropractor | 1018 W Jasper Dr, Killeen, TX 76542-1319 | 2007-09-26 |
1093846016 | Dennis Jason Carlson | Physician Assistant | 6300 W Parker Rd Ste 124, Plano, TX 75093-8100 | 2007-03-08 |
1184779878 | Dennis Hjalmar Carlson | Marriage & Family Therapist | 2951 Fulton Ave, Sacramento, CA 95821-4909 | 2007-01-24 |
1932216868 | Dennis Roy Carlson | Technician/Technologist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-08-24 |
1073627113 | Dennis R. Carlson | Dentist | 402 Monroe St, Anoka, MN 55303-2516 | 2006-08-18 |
Street Address |
302 CHESTNUT ST 200 TINI SQUARE BLDG. |
City | VIRGINIA |
State | MN |
Zip Code | 55792-2541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104218239 | Range Family Dental LLC | Dentist | 302 Chestnut St, Suite 200, Virginia, MN 55792-2541 | 2015-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
Find all providers in zip 55792 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215271051 | James Eliasen | Dentist | 1205 20th St S, Virginia, MN 55792-3724 | 2012-11-17 |
1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
1750501136 | Bassing & Bassing, Ltd. | Dentist | 235 1/2 Chestnut St, Virginia, MN 55792-2510 | 2007-04-26 |
1790735512 | David D Witschen | Dentist | 710 9th St N, Virginia, MN 55792-2322 | 2006-05-11 |
1194033217 | Denise Chiu | Dentist | 331 S Main St, Virginia, IL 62691-1519 | 2010-09-23 |
1174751531 | Dental Associates, Ltd. | Dentist | 108 N 3rd Ave, Virginia, MN 55792-2519 | 2009-06-24 |
1841426756 | Michael Bryan Miskovich | Dentist | 612 13th St S, Virginia, MN 55792-3149 | 2009-06-05 |
1083880991 | Joann Marold Bassing | Dentist | 235 1/2 Chestnut St, Virginia, MN 55792-2510 | 2008-05-01 |
1952577868 | John Joseph Bassing | Dentist | 235 1/2 Chestnut St, Virginia, MN 55792-2510 | 2008-05-01 |
1134325160 | William P Capati | Dentist | 331 S Main St, Virginia, IL 62691-1519 | 2007-06-26 |
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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.