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R CHRISTOPHER CARSON DDS INC NPI 1407809007


NPI Information

NPI: 1407809007
Provider Name: R CHRISTOPHER CARSON DDS, INC

Doing Business As: DENTAL HEALTH GROUP OF CHAGRIN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8505 TANGLEWOOD SQ STE T17
CHAGRIN FALLS, OH
ZIP 44023
Phone: (440) 543-1234
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R CHRISTOPHER CARSON DDS, INC is a general practice dentist in Chagrin Falls, OH. The provider is 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. R CHRISTOPHER CARSON DDS, INC NPI is 1407809007. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Health Group Of Chagrin.

The provider's business location address is:

8505 TANGLEWOOD SQ STE T17
CHAGRIN FALLS, OH
ZIP 44023-400
Phone: (440) 543-1234
Fax: (440) 543-1205

The provider's authorized official is Ronald C Carson .
The authorized official title is President, Dds and has the following contact phone number (440) 543-1234.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/9/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice20891OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12193246MEDICAIDOHIO
20248269MEDICAIDOHIO

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: 11/14/2023

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