Provider Demographics
NPI:1407260839
Name:CASTRE, ERIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:CASTRE
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 1:2629 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4812
Mailing Address - Country:US
Mailing Address - Phone:815-245-4263
Mailing Address - Fax:
Practice Address - Street 1:10260 N 90TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4408
Practice Address - Country:US
Practice Address - Phone:815-245-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7235-15122300000X
AZ9294122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist