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Contact Information

LAUREN N CARLSON, DMD
7863 BROADWAY STE 111
MERRILLVILLE, IN46410-5530
 Phone: 219-769-6636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LAUREN N CARLSON · (Female)

NPI # 1922528405
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/26/2017
Last updated 07/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 190.031987
  • IN License # 12013113A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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