SCOTT D CARLSON
NPI 1700495140
Clinic/Center - Dental in Prior Lake, MN
Active since July 30, 2020
About Scott D Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT D CARLSON (NPI 1700495140) is a healthcare organization registered as a dental in Prior Lake, Minnesota and active in the NPI registry since July 2020. The organization lists Geralyn Mary Berens, Office Manager, as its authorized official.
NPPES Registry Identity
NPI1700495140
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSCOTT D CARLSON
Location Address4667 DAKOTA ST SEPrior Lake, MN 55372-1714
Mailing Address4667 Dakota St SePrior Lake, MN 55372-1714 · (952) 447-6054 · Fax (952) 447-6139
Phone(952) 447-6054
Fax(952) 447-6139
Organization SubpartNo
Authorized OfficialGeralyn Mary BerensOffice Manager · (952) 447-6054
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1700495140 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4667 DAKOTA ST SE, Prior Lake, MN 55372
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700495140, enumerated as an "organization" on July 30, 2020.
The provider is located at 4667 DAKOTA ST SE PRIOR LAKE, MN 55372 and the phone number is (952) 447-6054.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
