Provider Demographics
NPI:1255348934
Name:FURR, CARL AUGUSTUS III (DDS)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:AUGUSTUS
Last Name:FURR
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1223
Mailing Address - Country:US
Mailing Address - Phone:919-271-6658
Mailing Address - Fax:
Practice Address - Street 1:1468 TARBORO ST W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-1509
Practice Address - Country:US
Practice Address - Phone:252-243-8448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6519122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist