Carlson, Richard H

Carlson, Richard H is an sole proprietor health care provider with primary practice located at 31 Long Wharf Mall , Newport RI 02840-2906. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Carlson, Richard H can be contacted via phone (401) 846-9770.

Contact Information

Primary practice address
31 Long Wharf Mall Newport RI 02840-2906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1475 Rhode Island

Profile Details

NPI number 1871658005
LBN Legal business name Carlson, Richard H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871658005 NPPES
Rhode Island Other 1475 LISCENCE NUMBER

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