Provider Demographics
NPI:1891855060
Name:KRIEBEL, CARL R JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:R
Last Name:KRIEBEL
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:280 HUFFMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-6206
Mailing Address - Country:US
Mailing Address - Phone:910-581-1544
Mailing Address - Fax:910-346-7292
Practice Address - Street 1:3847 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5228
Practice Address - Country:US
Practice Address - Phone:910-219-4400
Practice Address - Fax:910-346-7292
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2014-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC80781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice