DR. Thomas William Carlson, DDS
NPI #1427010495 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1427010495
- Entity Type
- Individual
- Name
- DR. Thomas William Carlson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Nov 1, 2007
Practice Location
- Address
- 3001 A SIXTH ST.
- Address 2
- NAVAL HEALTH CLINIC
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-0000
- Phone
- (847) 688-2755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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