Provider Demographics
NPI:1437230240
Name:GEORGE CARR DDS & ASSOCIATES PLLC
Entity Type:Organization
Organization Name:GEORGE CARR DDS & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER DDS
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-756-0194
Mailing Address - Street 1:2072 E SOUTHERN AVE
Mailing Address - Street 2:SUITE A-103
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282
Mailing Address - Country:US
Mailing Address - Phone:480-756-0194
Mailing Address - Fax:480-345-6100
Practice Address - Street 1:2072 E SOUTHERN AVE
Practice Address - Street 2:SUITE A-103
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-756-0194
Practice Address - Fax:480-345-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty