Individual provider · Type 1 NPI

Jack Kyle Carlson

General Practice Dentistry · Fargo, ND

NPI number 1124952536 Active

Practice location

3115 University Dr S
Fargo, ND 58103-6049

Call (701) 232-8884 Map

Fax (701) 232-8884

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2588 (ND)

General Practice Dentistry: 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.

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About NPI 1124952536

Jack Kyle Carlson's National Provider Identifier is 1124952536, issued on Jun 10, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fargo, ND. The record was last updated on Jun 10, 2026.