DR. SCOTT DAVID CARLSON (NPI# 1922048115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922048115 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DAVID CARLSON |
| Credential | DDS |
| Practice Address |
4667 Dakota St Se Prior Lake MN 55372-1714 |
| Practice Telephone | 9524476054 |
| Practice Fax Number | 9524476139 |
| Mailing Telephone | 9524476054 |
| Mailing Fax Number | 9524476139 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D8773 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995431 | Scott Carlson | Physical Therapist | 15609 Ronald W Reagan Blvd Bldg A130, Leander, TX 78641-1472 | 2016-11-23 |
| 1356667513 | Scott Carlson | Internal Medicine | 234 Goodman St., Ml 665x, Hoxworth Medicine-pediatrics Clinic, Cincinnati, OH 45219 | 2010-04-13 |
| 1083765580 | Scott Carlson | Psychologist | 300 Rockfield Cir, Wpic-bt4, Pittsburgh, PA 15243-1406 | 2007-01-13 |
| 1700959632 | Scott J Carlson | General Practice | 1721 Taussig, Norfolk, VA 23511 | 2006-11-16 |
| 1861562167 | Scott Kevin Carlson | Counselor | 5731 S 108th St, Omaha, NE 68137-3746 | 2006-11-08 |
| 1235243544 | Scott Michael Carlson | Optometrist | 5335 W Rogers Blvd, Ste B, Skiatook, OK 74070-5285 | 2006-08-17 |
| 1750386199 | Scott Allan Carlson | Family Medicine | 2198 Us 31 S, Manistee, MI 49660 | 2005-06-14 |
| 1558899039 | Scott Michael Carlson | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2017-05-30 |
| 1700256120 | Scott Carlson | Behavioral Analyst | 2575 S Cimarron Rd, Suite #104, Las Vegas, NV 89117-7653 | 2015-09-28 |
| 1326171877 | Scott Steven Carlson | Chiropractor | 4205 Roswell Rd Ne, Atlanta, GA 30342-3716 | 2007-03-13 |
| Street Address |
4667 DAKOTA ST SE |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495140 | Scott D Carlson | Clinic/Center | 4667 Dakota St Se, Prior Lake, MN 55372-1714 | 2020-07-30 |
| 1811489909 | Blake Belland | Dentist | 4667 Dakota St Se, Prior Lake, MN 55372-1714 | 2018-06-04 |
| 1538202965 | Steven Alan Aaker | Dentist | 4667 Dakota St Se, Prior Lake, MN 55372-1714 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144577602 | Jolyn Rae Jaberi | Dentist | 16670 Franklin Trl Se Ste 100, Prior Lake, MN 55372-2926 | 2012-08-14 |
| 1518023464 | Trudy Marie Bonvino | Dentist | 14065 Commerce Ave Ne, Prior Lake, MN 55372-1436 | 2006-12-28 |
| 1790206126 | Debra Kay Sumner | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2017-07-06 |
| 1790149268 | Natalie Gomez | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2016-04-11 |
| 1538202965 | Steven Alan Aaker | Dentist | 4667 Dakota St Se, Prior Lake, MN 55372-1714 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
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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.