Sarah L Carlson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12115 Issued in MN

Legal business name

SARAH L CARLSON DDS PA

Doing business as

Northstar Dental Clinic

Practice address

675 E Nicollet Blvd Ste 120
Burnsville, MN 55337-6748

Phone

(952) 892-7700

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Louise Carlson, DDS

Title

Owner

Phone

(651) 472-4713

Specialties & licenses 1

Addresses

Other names 1

• Northstar Dental Clinic Doing business as

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1821498858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST N UNIT 404",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826755",
            "telephone_number": "651-472-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E NICOLLET BLVD STE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376748",
            "telephone_number": "952-892-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH L CARLSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-472-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura E Sanders, M.A. CCC-SLP
• Rebecca Sandness
• Sunny Santoro
• Bolade M Santos
• Sarah Doll
• Augustus Owusu Sarpong, ST, SA
• Ryan David Sass, D.D.S
• Brianna Marie Sato
• Tanesha Lashawn Saxon, MA, LPCC
• Nawaal Sayid

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.