Provider Demographics
NPI:1669508503
Name:CARR, ALAN R (DDS)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:R
Last Name:CARR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:12917 SE 38TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1349
Mailing Address - Country:US
Mailing Address - Phone:425-747-6335
Mailing Address - Fax:425-641-5358
Practice Address - Street 1:12917 SE 38TH ST STE 204
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1349
Practice Address - Country:US
Practice Address - Phone:425-747-6335
Practice Address - Fax:425-641-5358
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA36711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics