Daniel Owen Carson, D.D.S.
Dentist, General Practice in Denver, NC. Individual provider (NPI-1).
NPI number1720177579
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720177579
- Entity type
- Individual (NPI-1)
- Name
- Daniel Owen Carson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Sep 23, 2015 to Sep 23, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8131 | NC | Yes |
Practice location
510 N Highway 16Denver, NC 28037-8245
Phone 704-489-1777
Mailing address
510 N Highway 16Denver, NC 28037-8245
Phone 704-489-1777
Is something wrong?
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