Provider Demographics
NPI:1245572312
Name:CARR, KAYLA GIES (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:GIES
Last Name:CARR
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 NEW HIGHWAY 96 W
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4830
Mailing Address - Country:US
Mailing Address - Phone:615-790-4994
Mailing Address - Fax:615-656-2178
Practice Address - Street 1:1441 NEW HIGHWAY 96 W
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4830
Practice Address - Country:US
Practice Address - Phone:615-790-4994
Practice Address - Fax:615-656-2178
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN00000100041223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program