MR. TIMOTHY JON CARLSON (NPI# 1306931720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306931720 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY JON CARLSON |
| Credential | DDS |
| Practice Address |
657 Atlantic Ave Hancock Dental Clilnic, P.a Hancock MN 56244 |
| Mailing Address |
657 Atlantic Ave. Hancock Dental Clilnic, P.a. Hancock MN 56244 |
| Practice Telephone | 3203925300 |
| Practice Fax Number | 3203925302 |
| Mailing Telephone | 3203925300 |
| Mailing Fax Number | 3203925302 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10212 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427069186 | Timothy Don Carlson | Psychiatry & Neurology | 3717 National Dr Ste 130, Raleigh, NC 27612-4830 | 2006-08-10 |
| 1659392041 | Timothy James Carlson | Physical Therapist | 8 Yellowpine Ln, Trabuco Canyon, CA 92679-1420 | 2006-07-21 |
| 1861960205 | Timothy Carlson | Speech-Language Pathologist | 339 Morris Ave, Bronx, NY 10451-6122 | 2018-11-03 |
| 1649594581 | Timothy Arnold Carlson | Dentist | 5955 Zeamer Ave, 673rd Medical Group/sghq, Jber, AK 99506-3702 | 2010-03-22 |
| 1548209778 | Timothy J. Carlson | Dentist | 1010 E 86th St, Indianapolis, IN 46240-1868 | 2006-06-05 |
| 1003818758 | Timothy A Carlson | Nurse Practitioner | 2234 Perkiomen Ave, Reading, PA 19606-1830 | 2005-08-12 |
| Street Address |
657 ATLANTIC AVE HANCOCK DENTAL CLILNIC, P.A |
| City | HANCOCK |
| State | MN |
| Zip Code | 56244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003278870 | Hancock Dental Clinic, Pa | Clinic/Center | 657 Atlantic Ave, Hancock, MN 56244-2104 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386716363 | Stevens County Ind School Dist 768 | Local Education Agency (LEA) | 371 Hancock Ave, Hancock, MN 56244-0367 | 2006-11-14 |
| 1083159131 | Jennifer Marie Vine | Chiropractor | 581 6th St, Hancock, MN 56244-2073 | 2016-12-28 |
| 1528462017 | Julia Anne Conroy | Community Health Worker | 64 Hancock Ave, Hancock, MN 56244-9710 | 2014-10-13 |
| 1013389246 | Shae Brown | Specialist/Technologist | 749 4th St, Hancock, MN 56244-9774 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423161 | Nicole Ubinger | Social Worker | 1233 Anthony St, Hancock, MI 49930-1004 | 2020-09-23 |
| 1821644253 | Craig Wesley Hatcher | Pharmacist | 343 N. Pennsylvania Ave., Hancock, MD 21750 | 2019-08-12 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1669968731 | Erin Jeanine Carter | Health Educator | 1500 Birch St, Hancock, MI 49930-1052 | 2018-07-02 |
| 1891284618 | Kneetix Mobile Pain Therapy | Clinic/Center | 2732 Roods Creek Rd Bldg 27, Hancock, NY 13783-1861 | 2018-05-07 |
| 1366949455 | Nathan Larson | Preventive Medicine | 601 Quincy St., Athletics / Paavo Nurmi Gym, Hancock, MI 49930-4993 | 2018-04-06 |
| 1821596768 | Renee Elizabeth O'neill | Advanced Practice Midwife | 506 Campus Dr, Hancock, MI 49930-1569 | 2018-01-25 |
| 1710406707 | Guardian Flight LLC | Ambulance | 1212 E Atlantic St, Hancock, MI 49930-1415 | 2017-09-12 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| Find all providers in HANCOCK | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861703258 | Superior Smiles | Dentist | 1550 West Quincy St, Hancock, MI 49930 | 2010-06-30 |
| 1457479214 | Dennis Destefano | Dentist | 24651 State Hwy 97, Hancock, NY 13783-2233 | 2007-03-27 |
| 1053462473 | Leonard William Beesley | Dentist | 1111 Hecla St, Hancock, MI 49930-1035 | 2007-01-13 |
| 1982710802 | Ronald Joseph Fisher | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2006-08-22 |
| 1427164680 | Robert D Richards Dds PC | Dentist | 896 Campus Drive, Hancock, MI 49930-1571 | 2006-08-21 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1932652005 | Justin Slis | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2016-07-25 |
| 1205217239 | Upper Great Lakes Family Health Center | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2015-06-16 |
| 1144435421 | Robert Donold Richards | Dentist | 896 Campus Drive, Hancock, MI 49931-1571 | 2007-05-11 |
| 1356467203 | Robert Nominelli | Dentist | 1550 W Quincy St, Hancock, MI 49930-1223 | 2007-03-22 |
| Find all providers in HANCOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.