Kerry Carlson Dds,pllc
NPI #1568062685 in Clarksville, Arkansas
Provider Information
- NPI Number
- 1568062685
- Entity Type
- Organization
- Organization Name
- Kerry Carlson Dds,pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 28, 2020
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 1619 W MAIN ST STE A
- City
- Clarksville
- State
- Arkansas
- ZIP Code
- 72830-3225
- Phone
- (479) 754-2042
Authorized Official
- Name
- JENNIFER D IHLE
- Title
- BUSINESS ADMINISTRATOR
- Phone
- (479) 754-2042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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