Organization Name: | GEORGE R. CARSON D.D.S. P.C. |
NPI Number: | 1124186358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE R. CARSON (OWNER) |
Mailing Address: | 116 N Meade Ave Glendive |
State: | MT US |
Postal Code: | 593301631 |
Phone Number: | 4063778265 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 1321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |