Provider Demographics
NPI:1639480460
Name:GUERNSEY, CARRIE MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:MARIE
Last Name:GUERNSEY
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 1:3 WOODLAND RD
Mailing Address - Street 2:SUITE 417
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1702
Mailing Address - Country:US
Mailing Address - Phone:781-662-1999
Mailing Address - Fax:781-662-4430
Practice Address - Street 1:3 WOODLAND RD
Practice Address - Street 2:SUITE 417
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1702
Practice Address - Country:US
Practice Address - Phone:781-662-1999
Practice Address - Fax:781-662-4430
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855465122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist