Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK DAVID CARLSON MS DDS
NPI 1083670780
Dentist - Oral and Maxillofacial Surgery in Tacoma, WA

Active since April 22, 2006
1550 SOUTH UNION AVENUE, SUITE 250, TACOMA, WA 98405(253) 572-4601(253) 572-4769 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark David Carlson Ms Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DAVID CARLSON MS DDS (NPI 1083670780) is an individual oral and maxillofacial surgery provider in Tacoma, Washington, licensed in Washington (DE00005551) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1083670780
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK DAVID CARLSONCredential: MS DDS
Location Address1550 SOUTH UNION AVENUE, SUITE 250Tacoma, WA 98405-1946
Mailing Address1550 South Union Avenue, Suite 250Tacoma, WA 98405-1946 · (253) 572-4601 · Fax (253) 572-4769
Fax(253) 572-4769
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083670780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · DE00005551
Definition
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.
1550 SOUTH UNION AVENUE, Tacoma, WA 98405

Other Identifiers 1

Medicaid5005491WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Carlson's NPI number?

The NPI number for Mark Carlson is 1083670780. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Mark Carlson located?

Mark Carlson practices at 1550 South Union Avenue Suite 250, Tacoma, WA 98405. The listed phone number is (253) 572-4601.

What is Mark Carlson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mark Carlson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.