Provider Demographics
NPI:1467634980
Name:DR. N. CARROLL MULLINS, D.D.S., P.C.
Entity Type:Organization
Organization Name:DR. N. CARROLL MULLINS, D.D.S., P.C.
Other - Org Name:DESIGNING SMILES COSMETIC DENTAL CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEWTON
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:276-679-7171
Mailing Address - Street 1:728 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-4051
Mailing Address - Country:US
Mailing Address - Phone:276-679-7171
Mailing Address - Fax:276-679-7222
Practice Address - Street 1:728 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-4051
Practice Address - Country:US
Practice Address - Phone:276-679-7171
Practice Address - Fax:276-679-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004680122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty