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Mark Tague Carlson, DDS
General Practice Dentistry in Fayetteville, North Carolina
NPI 1952418618

Mark Tague Carlson is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Mark Tague Carlson practices in Fayetteville, NC and has the professional credentials of DDS. The NPI Number for Mark Tague Carlson is 1952418618 and holds a License No. 6963 (North Carolina).

The current practice location address for Mark Tague Carlson is 1400 Walter Reed Rd, Fayetteville, NC and can be reached out via phone at 910-864-9884. You can also correspond with Mark Tague Carlson through the mailing address at 2041 SILAS CREEK PKWY, WINSTON SALEM, NC - 27103-5147 (mailing address contact number: 336-777-0303).

Location: 1400 Walter Reed Rd, Fayetteville, NC, 27103-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952418618
Provider Name
Mark Tague Carlson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1400 Walter Reed Rd, Fayetteville, NC, 27103-5147
Phone Number
910-864-9884
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9026X 01 BLUE CROSS BLUE SHIELD NC
5903721 05 NC
1587738 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1400 Walter Reed Rd
City
Fayetteville
State
North Carolina
Zip
28304-4409
Phone Number
910-864-9884
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Walter Reed Rd
City
Fayetteville
State
North Carolina
Zip
28304-4409
Phone Number
910-864-9884
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6963 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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