Provider Demographics
NPI:1437326824
Name:KRIEGER, CAROLYN A (DMD)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:A
Last Name:KRIEGER
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 1:181 14TH STREET #100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:404-874-1955
Mailing Address - Fax:404-874-1964
Practice Address - Street 1:181 14TH STREET #100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-874-1955
Practice Address - Fax:404-874-1964
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0135401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice