Provider Demographics
NPI:1598776551
Name:MUZNY, CARRIE CONNALLY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:CONNALLY
Last Name:MUZNY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 LOST POND CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-6145
Mailing Address - Country:US
Mailing Address - Phone:936-321-6414
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 6260
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1551
Practice Address - Country:US
Practice Address - Phone:281-298-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice