DR. JOHN RAYMOND CARLSON D.M.D. NPI 1215916291

NPI Information

NPI: 1215916291
Provider Name: DR. JOHN RAYMOND CARLSON, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
58 COURT ST
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-6344
Get Directions

DR. John Raymond Carlson, D.M.D. is an oral and maxillofacial surgery dentist in Middlebury, VT. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. John Raymond Carlson, D.M.D. NPI is 1215916291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 COURT ST
MIDDLEBURY, VT
ZIP 05753-419
Phone: (802) 388-6344
Fax: (802) 388-4103

The enumeration date for this NPI number is 1/10/2006 and was last updated on 7/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	016-0000741	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	VT2436	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
2	0002436	MEDICAID	VERMONT
3	25323	MEDICARE UPIN	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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