Provider Demographics
NPI:1457567943
Name:CARNES, ZEB FREEMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZEB
Middle Name:FREEMAN
Last Name:CARNES
Suffix:
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 1:1036 CHICKASAWBA ST
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315-2665
Mailing Address - Country:US
Mailing Address - Phone:870-763-1223
Mailing Address - Fax:
Practice Address - Street 1:1036 CHICKASAWBA ST
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-2665
Practice Address - Country:US
Practice Address - Phone:870-763-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR21091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics