Provider Demographics
NPI:1447618434
Name:EXNER, CARL ARNOLD JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ARNOLD
Last Name:EXNER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 OAKLYN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-8313
Mailing Address - Country:US
Mailing Address - Phone:919-632-0699
Mailing Address - Fax:
Practice Address - Street 1:3201 OAKLYN SPRINGS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-8313
Practice Address - Country:US
Practice Address - Phone:919-632-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4056122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist