CARLYLE HOLBROOK DAHLQUIST


Address: 1508 Nw Mock Ave, Suite A, Blue Springs, MO 64015-3095
Phone: 8162287176

CARLYLE HOLBROOK DAHLQUIST (NPI# 1972675288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972675288
Entity Type Individual
Full Name CARLYLE HOLBROOK DAHLQUIST
Credential DDS
Practice Address 1508 Nw Mock Ave
Suite A
Blue Springs
MO 64015-3095
Practice Telephone 8162287176
Practice Fax Number 8162249555
Mailing Telephone 8162287176
Mailing Fax Number 8162249555
Enumeration Date 2006-11-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
13940 MO Dental Providers

Office Location

Street Address 1508 NW MOCK AVE
SUITE A
City BLUE SPRINGS
State MO
Zip Code 64015-3095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487033148 Ryan Dahlquist Dentist 1508 Nw Mock Ave, #a, Blue Springs, MO 64015 2015-05-27

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1629416540 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 2013-06-13
1356689376 Carl H. Dahlquist D.d.s.,llc Dentist 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 2013-01-25
1043560493 Timothy A. Cox Specialist/Technologist, Other 808 Nw Maynard Street, Blue Springs, MO 64015 2012-09-13
1578847547 Shannon J Hattey Pharmacist 1701 Nw 7 Hwy, Blue Springs, MO 64015 2011-10-07
1497937676 Michael Ray Pardun Chiropractor 3650 W Hwy 40, Blue Springs, MO 64015 2007-11-29
1437374337 Clinton Earl Thomas Counselor 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 2007-04-16
1235251562 Leigh Gilburn Family Medicine 5435 Sw Us Highway 40, Blue Springs, MO 64015 2007-04-06
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053974139 Blue Springs Dental Daniel J Tokar Dds PC Dentist 620 Sw Us Highway 40, Blue Springs, MO 64014-3231 2019-04-15
1083027411 Alex Sharifian Dds Blue Springs Dentistry PC Dentist 1205 Ne Coronado Drive, Blue Springs, MO 64014 2014-06-03
1831472794 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1126 Ne Coronado Drive, Suite 109, Blue Springs, MO 64014 2011-09-27
1841456795 Beth L. Gehring, Dds, PC Dentist 816 Nw Vesper St, Blue Springs, MO 64015-3734 2008-07-30
1770746737 Benjamin Patrick Unruh Dentist 717 N 7 Hwy, Blue Springs, MO 64014-2426 2008-07-09
1356513659 Wilkinson Family Dentistry, LLC Dentist 1200 Nw Jefferson Ct, Blue Springs, MO 64015-6394 2008-03-26
1427241983 Robert Spencer Ivy Dentist 1404 Nw Wildwood Dr, Blue Springs, MO 64015-6415 2007-08-19
1497978605 Nelson E Farney Dentist 1701 Sw Us Highway 40, Ste 204, Blue Springs, MO 64015-4621 2007-04-10
1003949025 D. Mark Monheiser Dentist 1100 Nw Jefferson Ct, Blue Springs, MO 64015-6382 2007-03-13
1700926102 Dennis L Demskey Dentist 1132 Sw Luttrell, Suite B, Blue Springs, MO 64015-6519 2007-02-07
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Competitor

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City BLUE SPRINGS
Zip Code 64015

Improve Information

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Dataset Information

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.

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