Provider Demographics
NPI:1023120300
Name:NURKO, CARLOS (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:NURKO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 DONNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3860
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6803 PRESTON RD
Practice Address - Street 2:SUITE 122
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5823
Practice Address - Country:US
Practice Address - Phone:972-712-3962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics