Provider Demographics
NPI:1437587003
Name:CARRINGTON & HENRY DENTAL
Entity Type:Organization
Organization Name:CARRINGTON & HENRY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-393-1363
Mailing Address - Street 1:7410 GREENHAVEN DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-5158
Mailing Address - Country:US
Mailing Address - Phone:916-393-1363
Mailing Address - Fax:916-393-4853
Practice Address - Street 1:7410 GREENHAVEN DR
Practice Address - Street 2:SUITE 105
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5158
Practice Address - Country:US
Practice Address - Phone:916-393-1363
Practice Address - Fax:916-393-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty