Provider Demographics
NPI:1851412647
Name:CARR PROFESSIONAL ASSOCIATION
Entity Type:Organization
Organization Name:CARR PROFESSIONAL ASSOCIATION
Other - Org Name:CARR FAMILY DENTISTRY, ABERDEEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-272-2166
Mailing Address - Street 1:15 S PARKE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-4520
Mailing Address - Country:US
Mailing Address - Phone:410-272-2166
Mailing Address - Fax:410-272-4108
Practice Address - Street 1:15 S PARKE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-4520
Practice Address - Country:US
Practice Address - Phone:410-272-2166
Practice Address - Fax:410-272-4108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty