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Dr. Jan Ray Carlson, DDS
Pediatric Dentist in Lakewood, New York
NPI 1417059478

Jan Ray Carlson is a Pediatric Dentist based in Lakewood, NY and is specialized in Pediatric Dentistry. Jan Ray Carlson practices in Lakewood, NY and has the professional credentials of DDS. The NPI Number for Jan Ray Carlson is 1417059478 and holds a License No. 058246 (New York).

The current practice location address for Jan Ray Carlson is 133 E Fairmount Ave Ste 1, Lakewood, NY and can be reached out via phone at 716-763-0130.

Location: 133 E Fairmount Ave Ste 1, Lakewood, NY, 14750-1950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417059478
Provider Name
Jan Ray Carlson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
133 E Fairmount Ave Ste 1, Lakewood, NY, 14750-1950
Phone Number
716-763-0130
Fax Number
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
133 E Fairmount Ave Ste 1
City
Lakewood
State
New York
Zip
14750-1950
Phone Number
716-763-0130
Fax Number
person
Provider Business Mailing Address Details
Address
133 E Fairmount Ave Ste 1
City
Lakewood
State
New York
Zip
14750-1950
Phone Number
716-763-0130
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
058246 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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