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Active NPI 1902965890 Individual Practitioner Male Practitioner

Dr. Eric Todd Carlson , DDS

Dentist - General Practice • Saint Michael, MN

Professional Overview & Biography Verified Profile Summary

Dr. Eric Carlson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Michael, MN. Practice services are available at 12725 43RD ST NE STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12725 43rd St Ne Ste 202

Saint Michael, MN 553764929

Telephone 7634972367
Fax 7634978171
Associated Practice Facility / Clinic
🏢 Northwest Family Dental Center Tn Facility NPI 1114130010

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Michael, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Michael, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12093

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
58492400 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. David Desimone , DDS

Dentist - General Practice

NPI 1982789731

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2012

Registered at 12725 43RD ST NE STE 202, SAINT MICHAEL, MN 553764929 (Tel: 7634972367)

📍
Updated Business Mailing Address January 06, 2012

Registered at 12725 43RD ST NE STE 202, SAINT MICHAEL, MN 553764929 (Tel: 7634972367)

👤
Provider Name / Credentials Updated January 06, 2012

Recorded as ERIC CARLSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Dentist (License #D12093 in MN)

🟢
Initial NPI Registration & Enumeration December 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902965890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: January 06, 2012
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

12725 43rd St Ne Ste 202

Saint Michael, MN 553764929

Phone: 7634972367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.