IndividualActive
Jeffrey Carlson, DDS, MS
NPI 1881779346 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1881779346
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8252 (MN)
Specialties & taxonomies
Dental Providers
Practice location
515 Delaware St Se
Minneapolis, MN 55455-0357
Phone: (612) 626-3468
Approximate (ZIP-level) locationGet directions
Mailing address
6616 Limerick Lane
Edina, MN 55439-1326
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.