Sean Kenneth Carlson, D.M.D., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Larkspur, CA
NPI 1083971352 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1083971352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 42037 (CA)
- Practice address
- 265 Magnolia Ave
Larkspur, CA 94939-2083 - Phone
- (415) 746-1300
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42037 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean K Carlson DMD Ms Inc | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 42037 | CA | Yes |
Addresses
Primary practice location
265 Magnolia Ave
Larkspur, CA 94939-2083
Mailing address
265 Magnolia Ave
Larkspur, CA 94939-2083
Phone (415) 746-1300
Other providers in Larkspur, CA
- California Orthopedics & Spine Inc
- California Orthopedics & Spine Inc
- California Orthopedics & Spine Inc
- Jeffrey Caplan
- Cardiovascular Associates of Marin & San Francisco Medical Group Inc
- Jacqueline Susanna Chan
- Lauren Chandler
- Katherine Louise Chick
- Kyle Alexander Choi
- Clearcost Health
All providers in Larkspur, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.