National Provider Identifier
Brian Carlson, DMD
Brian Carlson, DMD is listed in the NPPES registry with a primary specialty of Dentist in Blasdell, NY and a listed phone number of (716) 954-8705.
Profile Overview
- NPI
- 1891158143
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 04, 2016
- Last Updated
- April 29, 2019
Practice Location
- 1060 McKinley Mall
- Blasdell, NY 14219
Phone: (716) 954-8705
Mailing Address
- 1060 McKinley Mall
- Blasdell, NY 14219-3019
Specialties
- Dentist (122300000X)
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1891158143
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Brian
- Credential
- DMD
- Mailing Street Address
- 1060 McKinley Mall
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-3019
- Mailing Country
- US
- Practice Street Address
- 1060 McKinley Mall
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219
- Practice Country
- US
- Practice Phone
- (716) 954-8705
- Enumeration Date
- April 04, 2016
- Last Updated
- April 29, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)