Individual provider · Type 1 NPI

Peter Loren Carlson, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK

NPI number 1881822104 Active

Practice location

1201 N Stonewall Ave, Suite 206
Oklahoma City, OK 73117-1214

Fax (405) 271-1134

Mailing address

17032 Woodvine Dr
Edmond, OK 73012-7911

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X343 (OK)

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 1881822104

Peter Loren Carlson, D.D.S's National Provider Identifier is 1881822104, issued on Jun 25, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 25, 2009.