Provider Demographics
NPI:1770790883
Name:CARTER MITCHELL, LAURA L (DDS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:CARTER MITCHELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 ELDORADO PKWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-8697
Mailing Address - Country:US
Mailing Address - Phone:214-872-3434
Mailing Address - Fax:214-619-0304
Practice Address - Street 1:5110 ELDORADO PKWY
Practice Address - Street 2:SUITE 600
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-8697
Practice Address - Country:US
Practice Address - Phone:214-872-3434
Practice Address - Fax:214-619-0304
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry