Provider Demographics
NPI:1467820712
Name:CARLTON GEORGE ESTLER D.D.S. PA
Entity Type:Organization
Organization Name:CARLTON GEORGE ESTLER D.D.S. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-579-7222
Mailing Address - Street 1:910 S FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3060
Mailing Address - Country:US
Mailing Address - Phone:281-579-7222
Mailing Address - Fax:281-579-8327
Practice Address - Street 1:910 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3060
Practice Address - Country:US
Practice Address - Phone:281-579-7222
Practice Address - Fax:281-579-8327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty