Individual provider · Type 1 NPI

Kaitlin Marie Carlson, DMD

Pediatric Dentistry · Kansas City, MO

NPI number 1073214136 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 234-3000 Map

Mailing address

13116 Fawn Creek Rd
Highland, IL 62249-2828

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019.035868 (IL)

Pediatric Dentistry: 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.

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About NPI 1073214136

Kaitlin Marie Carlson, DMD's National Provider Identifier is 1073214136, issued on Mar 15, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2025.