Mark Tague Carlson is a Fayetteville, North Carolina based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mark Tague Carlson is 6963 for General Practice Dentistry in North Carolina. His current practice location is 1400 Walter Reed Rd, Suite 200, Fayetteville. Patients can reach him at 910-864-9884.
Mark Tague Carlson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mark Tague Carlson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mark Tague Carlson
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1400 Walter Reed Rd, Suite 200, Fayetteville, North Carolina, 28304-4409
Phone:
910-864-9884
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1952418618
NPI Enumeration Date:
25 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Tague Carlson are as mentioned below.
License Number
Specialization
State
Status
6963
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Tague Carlson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9026X
Other
BLUE CROSS BLUE SHIELD NC
5903721
Medicaid
North Carolina
1587738
Other
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2041 Silas Creek Pkwy, Winston Salem, North Carolina
Zip:
27103-5147
Phone Number:
336-777-0303
Fax Number:
336-777-3448
Patients can reach Mark Tague Carlson at 1400 Walter Reed Rd, Suite 200, Fayetteville, North Carolina or can call to book an appointment on 910-864-9884. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.