Provider Demographics
NPI:1639953326
Name:CAROTHERS PARKWAY GENERAL DENTISTRY
Entity Type:Organization
Organization Name:CAROTHERS PARKWAY GENERAL DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-771-7123
Mailing Address - Street 1:9040 CAROTHERS PKWY STE A203
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6312
Mailing Address - Country:US
Mailing Address - Phone:615-491-5038
Mailing Address - Fax:615-491-5038
Practice Address - Street 1:9040 CAROTHERS PKWY STE A203
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6312
Practice Address - Country:US
Practice Address - Phone:615-717-1237
Practice Address - Fax:615-771-9674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental