Individual provider · Type 1 NPI
Jan Ray Carlson, DDS
Pediatric Dentistry · Lakewood, NY
NPI number
1417059478
Active
Practice location
133 E Fairmount Ave Ste 1
Lakewood, NY 14750-1950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 058246 (NY) |
| Pediatric Dentistry | 1223P0221X | 60345 (KS) |
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.
Another provider at this address
About NPI 1417059478
Jan Ray Carlson, DDS's National Provider Identifier is 1417059478, issued on Sep 1, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakewood, NY. The record was last updated on Jul 28, 2016.