SEAN K CARLSON DMD MS INC

265 MAGNOLIA AVE, STE 100, LARKSPUR, CA, 94939

atlas:atm_npi_1003598376

Block 3016Block Group 3Census Tract 1200.02Marin County California United States

What is stored

phone: 415-746-1300
status: A
address: 265 MAGNOLIA AVE, STE 100, LARKSPUR, CA, 94939
npi: 1003598376
taxonomy: Dentist, Orthodontics and Dentofacial Orthopedics
other names: ["SIMPLE ORTHODONTICS"]
last updated: 2024-08-29
taxonomy code: 1223X0400X
all taxonomies: ["Dentist, Orthodontics and Dentofacial Orthopedics"]
enumeration date: 2023-08-04
enumeration type: NPI-2
practice locations: 0
authorized official: SEAN CARLSON
organizational subpart: NO

Additional fields are available in JSON.

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The same object as JSON

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Read fact fields

{
  "npi": "1003598376",
  "phone": "415-746-1300",
  "status": "A",
  "address": "265 MAGNOLIA AVE, STE 100, LARKSPUR, CA, 94939",
  "license": null,
  "taxonomy": "Dentist, Orthodontics and Dentofacial Orthopedics",
  "other_names": [
    "SIMPLE ORTHODONTICS"
  ],
  "last_updated": "2024-08-29",
  "license_state": null,
  "taxonomy_code": "1223X0400X",
  "all_taxonomies": [
    "Dentist, Orthodontics and Dentofacial Orthopedics"
  ],
  "enumeration_date": "2023-08-04",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "SEAN CARLSON",
  "organizational_subpart": "NO"
}