Provider Demographics
NPI:1639201098
Name:MORROW, CAROL MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:MORROW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:MARIE
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:WALSH
Mailing Address - State:CO
Mailing Address - Zip Code:81090-0070
Mailing Address - Country:US
Mailing Address - Phone:719-324-5251
Mailing Address - Fax:
Practice Address - Street 1:137 KANSAS ST
Practice Address - Street 2:
Practice Address - City:WALSH
Practice Address - State:CO
Practice Address - Zip Code:81090
Practice Address - Country:US
Practice Address - Phone:719-324-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO92781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice