Provider Demographics
NPI:1013180439
Name:CARLTON, DANA ALAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:ALAN
Last Name:CARLTON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 DUESENBERG DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3447
Mailing Address - Country:US
Mailing Address - Phone:805-373-6665
Mailing Address - Fax:805-373-1887
Practice Address - Street 1:47 DUESENBERG DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3447
Practice Address - Country:US
Practice Address - Phone:805-373-6665
Practice Address - Fax:805-373-1887
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics