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

Jack Kyle Carlson

Individual provider General Practice Dentistry · NPI 1124952536

Jack Kyle Carlson is a General Practice Dentistry in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2026.

Licensed in
ND
In the registry since
2026

Practice location Address checks out

3115 University Dr S
Fargo, ND 58103-6049
Phone: (701) 232-8884
Fax: (701) 232-8884
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2588 (ND)

Record details

NPI number1124952536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address3115 University Dr S, Fargo, ND 58103-6049

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