Provider Demographics
NPI:1023365525
Name:TEAHEN, CARRIE CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:CHRISTINE
Last Name:TEAHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:CHRISTINE
Other - Last Name:BEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:855 A AVE NE
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5057
Mailing Address - Country:US
Mailing Address - Phone:319-369-7730
Mailing Address - Fax:
Practice Address - Street 1:855 A AVE NE
Practice Address - Street 2:SUITE LL1
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5057
Practice Address - Country:US
Practice Address - Phone:319-369-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA088001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice