Carlson-Marks, Lisa

Carlson-Marks, Lisa is an individual health care provider with primary practice located at 4500 Cherry Creek South Dr # 840, Glendale CO 80246-1518. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Carlson-Marks, Lisa can be contacted via phone (303) 377-1148.

Contact Information

Primary practice address
4500 Cherry Creek South Dr # 840 Glendale CO 80246-1518
Phone: (303) 377-1148
Fax: (303) 388-2142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7396 Colorado

Profile Details

NPI number 1952301582
LBN Legal business name Carlson-Marks, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 16th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952301582 NPPES
Colorado MEDICAID 71905774
Colorado MEDICAID 55931375

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