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RANDY D CARLSON DMD ADC AND CHARLES L DRURY DDS AEGD APC NPI 1588969547


NPI Information

NPI: 1588969547
Provider Name: RANDY D CARLSON DMD ADC AND CHARLES L DRURY DDS AEGD APC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5256 S MISSION RD
SUITE 1101
BONSALL, CA
ZIP 92003
Phone: (760) 630-5500
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RANDY D CARLSON DMD ADC AND CHARLES L DRURY DDS AEGD APC is a general practice dentist in Bonsall, CA. 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. RANDY D CARLSON DMD ADC AND CHARLES L DRURY DDS AEGD APC NPI is 1588969547. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5256 S MISSION RD
SUITE 1101
BONSALL, CA
ZIP 92003-614
Phone: (760) 630-5500
Fax: (760) 630-5831

The provider's authorized official is Randy Dennis Carlson .
The authorized official title is Managing Partner and has the following contact phone number (760) 630-5500.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/21/2011.


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 Practice48905CALIFORNIANo
21223G0001XDentistGeneral Practice34679CALIFORNIAYes

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
1753898OTHERCALIFORNIAUNITED CONCORDIA
248905OTHERCALIFORNIADELTA DENTAL
3415674OTHERCALIFORNIAUNITED CONCORDIA
434679OTHERCALIFORNIADELTA DENTAL

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

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