Dr Clarence Nolan Carson Iii, DDS is a
Dentist based in Springfield, South Dakota. Dr Clarence Nolan Carson Iii is licensed to practice in South Dakota (license number M894) and his current practice location is
707 Chestnut St, Springfield, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 369-2226.
NPI number for Dr Clarence Nolan Carson Iii is 1528154234 and his current mailing address is 707 Chestnut St, Po Box 567, Springfield, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528154234.
Healthcare Provider's Profile
| Full Name | Dr Clarence Nolan Carson Iii |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 707 Chestnut St, Springfield, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528154234
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/17/2012
Medical Identifiers
Medical identifiers for Dr Clarence Nolan Carson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528154234 | NPI | - | NPPES |
| 46046213100 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | M894 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clarence Nolan Carson Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clarence Nolan Carson Iii, DDS
707 Chestnut St, Po Box 567,
Springfield, SD 57062
Ph: (605) 369-2226 | Dr Clarence Nolan Carson Iii, DDS
707 Chestnut St,
Springfield, SD 57062
Ph: (605) 369-2226 |
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