NPI 1003110909

Leonard G. Carlson, D.D.S.

Organisation General Practice Dentistry South Yarmouth, MA

Practice location

Address: 249 Station Ave, South Yarmouth, MA 02664-1863
Phone: (508) 398-6939

Authorised official

Name: Leonard G Carlson
Title: President
Phone: (508) 398-6939

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN1855363 (MA)

Other Dentist providers in Massachusetts →

Registry record

NPI: 1003110909
Entity type: Organization
NPI issued: 6 Jan 2011
Record last updated: 6 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.