Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jan Ray Carlson, DDS

Individual provider Pediatric Dentistry · NPI 1417059478

Dr. Jan Ray Carlson, DDS is a Pediatric Dentistry in Lakewood, New York. Practices as a sole proprietor. Licensed in Kansas and New York.

Licensed in
KS, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

133 E Fairmount Ave Ste 1
Lakewood, NY 14750-1950
Phone: (716) 763-0130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 058246 (NY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 60345 (KS)

Record details

NPI number1417059478
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 28, 2016

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