Provider Demographics
NPI:1316162613
Name:FLESER, CARL ROGER (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:ROGER
Last Name:FLESER
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 1:1530 N STATE ROUTE 61
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9509
Mailing Address - Country:US
Mailing Address - Phone:800-222-8207
Mailing Address - Fax:740-965-9560
Practice Address - Street 1:1530 N STATE ROUTE 61
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9509
Practice Address - Country:US
Practice Address - Phone:800-222-8207
Practice Address - Fax:740-965-9560
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300187561223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology