Individual provider · Type 1 NPI

John Raymond Carlson, DMD

Oral and Maxillofacial Surgery (Dentist) · Middlebury, VT

NPI number 1215916291 Active

Practice location

58 Court St
Middlebury, VT 05753-1419

Fax (802) 388-4103

Mailing address

7 Chipman Hts
Middlebury, VT 05753-1201

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X016-0000741 (VT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1215916291

John Raymond Carlson, DMD's National Provider Identifier is 1215916291, issued on Jan 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Middlebury, VT. The record was last updated on Jul 18, 2007.