Provider Demographics
NPI:1467768051
Name:DUPUIS, CAROL PRICE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:PRICE
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:L
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:306 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2402
Mailing Address - Country:US
Mailing Address - Phone:713-862-6408
Mailing Address - Fax:713-862-2187
Practice Address - Street 1:306 W 20TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2402
Practice Address - Country:US
Practice Address - Phone:713-862-6408
Practice Address - Fax:713-862-2187
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice