Search › New York › 1223P0221X
Jan Carlson, DDS
NPI 1417059478 · on the registry since 2006 · sole proprietor
Practice
- Address
- 133 E Fairmount Ave Ste 1
Lakewood, NY 14750 - Phone
- (716) 763-0130
- Organisation at this address
- Southern Tier Dentistry
Lakewood Pediatric Dentistry PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
- Licence states on file
- NY, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York