Provider Demographics
NPI:1386186856
Name:EMORY-CARTER, ALYSSA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:K
Last Name:EMORY-CARTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:K
Other - Last Name:EMORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2921 N HERITAGE PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4294
Mailing Address - Country:US
Mailing Address - Phone:903-821-9855
Mailing Address - Fax:
Practice Address - Street 1:2921 N HERITAGE PARKWAY
Practice Address - Street 2:SUITE #200
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7509
Practice Address - Country:US
Practice Address - Phone:903-821-9855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX304811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics