Provider Demographics
NPI:1144607920
Name:CAREY, AUSTIN RAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:RAY
Last Name:CAREY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1013 N DUPONT SQ STE BG407
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4612
Mailing Address - Country:US
Mailing Address - Phone:502-897-5282
Mailing Address - Fax:502-896-6714
Practice Address - Street 1:1013 N DUPONT SQ STE B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4612
Practice Address - Country:US
Practice Address - Phone:502-897-5282
Practice Address - Fax:502-896-6714
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2019-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY10249204E00000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery