Jean Judy Carlson, D.D.S.
Individual provider Active NPI General Practice Dentistry · Cambridge, MD
NPI 1497815468 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497815468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8202 (MD)
- Practice address
- 609 Locust St
Cambridge, MD 21613-1705 - Phone
- (410) 228-7111
- Fax
- (410) 228-9497
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8202 | MD | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8202 | MD | Yes |
Addresses
Primary practice location
609 Locust St
Cambridge, MD 21613-1705
Mailing address
609 Locust St
Cambridge, MD 21613-1705
Phone (410) 228-7111
Other providers in Cambridge, MD
- Cambridge MD Opco LLC
- Cambridge Operating LLC
- Cambridge Physical Therapy and Sports Care, LLC
- Judith Ann Cannon
- Mona L. Carey
- Tina Carter
- Laura Nicole Casey
- Monica L Cephas
- Channel Marker, Inc
- Channel Marker, Inc.
All providers in Cambridge, MD · General Practice Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.