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MARK TAGUE CARLSON DDS
NPI 1952418618
Dentist - General Practice in Fayetteville, NC

Active since August 25, 2006
1400 WALTER REED RD, SUITE 200, FAYETTEVILLE, NC 28304(910) 864-9884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Tague Carlson Dds NPPES

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

MARK TAGUE CARLSON DDS (NPI 1952418618) is an individual general practice provider in Fayetteville, North Carolina, licensed in North Carolina (6963) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1952418618
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK TAGUE CARLSONCredential: DDS
Location Address1400 WALTER REED RD, SUITE 200Fayetteville, NC 28304-4409
Mailing Address2041 Silas Creek PkwyWinston Salem, NC 27103-5147 · (336) 777-0303 · Fax (336) 777-3448
Phone(910) 864-9884
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952418618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6963
Definition
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.
1400 WALTER REED RD, Fayetteville, NC 28304
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Other Identifiers 3

Other1587738United Concordia
Other9026XBlue Cross Blue Shield Nc
Medicaid5903721NC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAFAEL RIVERA, JR., DDS, PLLC
Dentist
1400 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884
BALLANCE & DEROSE DDS PA
Dentist (General Practice)
1400 WALTER REED RD, SUITE 200
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884
DR. BINIAM TECLE D.D.S.
Dentist
1400 WALTER REED RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884
THOMAS HUGO HAMILTON JR. DDS
Dentist (General Practice)
1400 WALTER REED RD, SUITE 200
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884
DR. ROSELYN BROOKS KENNEDY DMD
Dentist (Pediatric Dentistry)
1400 WALTER REED RD, STE 200
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884
DR. PAIGE E NANCE DDS
Dentist
1400 WALTER REED RD, SUITE 200
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-9884

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 1952418618. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Mark Carlson located?

Mark Carlson practices at 1400 Walter Reed Rd Suite 200, Fayetteville, NC 28304. The listed phone number is (910) 864-9884.

What is Mark Carlson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.