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

Nolan Ryan Carlson

Individual provider Dental Hygienist · NPI 1285453670

Nolan Ryan Carlson is a Dental Hygienist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

280 60th St SE Ste #200
Grand Rapids, MI 49548
Phone: (616) 483-0750
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2902018221 (MI)

Record details

NPI number1285453670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address280 60th St Se, Suite #200, Grand Rapids, MI 49548

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