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NPI Code Detail

MEDICARE: DR. STEVE R CARLSON DDS

MEDICARE: DR. STEVE R CARLSON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12068MO

General Provider Information

NPI Number : 1679673792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE R CARLSON DDS
Provider Business Mailing Address
First Line : 3317 TOMAHAWK RD
Second Line :
City : MISSION HILLS
State : KS
Zip : 66208-1863
Country : US
Telephone Number : 913-432-8293
Fax Number : 816-436-5985
Provider Business Practice Location Address
First Line : 231 NW 72ND ST
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-1821
Country : US
Telephone Number : 816-436-5900
Fax Number : 816-436-5985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVE R CARLSON DDS” Practice Location

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