Provider Demographics
NPI:1053481762
Name:CARLIN, RICHARD BRYAN (DMD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:BRYAN
Last Name:CARLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CEDAR RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6720
Mailing Address - Country:US
Mailing Address - Phone:615-824-5299
Mailing Address - Fax:615-868-9843
Practice Address - Street 1:500 LENTZ DR
Practice Address - Street 2:STE. 80
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5135
Practice Address - Country:US
Practice Address - Phone:615-868-3026
Practice Address - Fax:615-868-9843
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice