Greg Carlson, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59603 Issued in CA

Legal business name

GREG CARLSON, DDS, INC

Practice address

27319 Valley Center Rd
Valley Center, CA 92082-7244

Phone

(760) 749-4700

NPI assigned

Mar 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Mark Carlson, D.D.S.

Title

President

Phone

(760) 749-4700

Specialties & licenses 1

Addresses

Other names 1

• Valley Center Smiles Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1780982140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27319 VALLEY CENTER RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827244",
            "telephone_number": "760-749-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27319 VALLEY CENTER RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827244",
            "telephone_number": "760-749-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG CARLSON, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-749-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Center Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria De Jesus Garcia, BBH
• Dianne Lavine Ghosh
• Shane Goldbach
• Paul Anthony Gonzalez, CADCII ICADC
• David Greb, M.D.
• Erica Danielle Harris, DDS
• Angelica Maria Heredia, ACSWS
• Hoa N Nguyen, DMD, Inc
• Home Help and Care
• Stephanie Houle-Kisil, NP

• General Practice Dentistry in Valley Center, CA
• Providers in Valley Center, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.