Provider Demographics
NPI:1326423062
Name:CARROW, CLAIRE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:CARROW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 CORNER CT
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-5328
Mailing Address - Country:US
Mailing Address - Phone:618-465-6268
Mailing Address - Fax:
Practice Address - Street 1:2716 CORNER CT
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-5328
Practice Address - Country:US
Practice Address - Phone:618-465-6268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190302311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice