George R. Carson D.D.S. P.C.
Organization Active NPI Pediatric Dentistry · Glendive, MT
NPI 1124186358 · NPPES record last updated May 23, 2008
Key facts
- NPI
- 1124186358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 1321 (MT)
- Legal business name
- GEORGE R. CARSON D.D.S. P.C.
- Practice address
- 116 N Meade Ave
Glendive, MT 59330-1631 - Phone
- (406) 377-8265
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. George R. Carson, D.D.S.
- Title
- Owner
- Phone
- (406) 377-8265
Practitioners 1
-
George R Carson, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | 1321 | MT | Yes |
Addresses
Primary practice location
116 N Meade Ave
Glendive, MT 59330-1631
Mailing address
116 N Meade Ave
Glendive, MT 59330-1631
Phone (406) 377-8265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110075 | Medicaid | MT | |
| 5510958 | Other | MT | CHIP |
Other providers in Glendive, MT
- Sherry Sue Gairrett
- Tonya Lynn Gallup
- Gambee PC
- Robert D Garner
- Carleen Gaub
- Glendive Counseling Center
- Glendive Eyecare
- Glendive Medical Center, Inc
- Glendive Medical Center, Inc
- Glendive Medical Center, Inc
All providers in Glendive, MT · Pediatric Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2008. 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.