Carlson, Jan Ray
Carlson, Jan Ray is an sole proprietor health care provider with primary practice located at 133 E Fairmount Ave Ste 1 , Lakewood NY 14750-1950. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Carlson, Jan Ray can be contacted via phone (716) 763-0130.Contact Information
Primary practice address
133 E Fairmount Ave Ste 1
Lakewood NY 14750-1950
Phone: (716) 763-0130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 058246 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 60345 | Kansas |
Profile Details
| NPI number | 1417059478 |
|---|---|
| LBN Legal business name | Carlson, Jan Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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