Provider Demographics
NPI:1780602839
Name:CAFFEY-EARLE, CHRISTY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:CAFFEY-EARLE
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 1:3301 LONG PRAIRIE ROAD
Mailing Address - Street 2:STE.110
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022
Mailing Address - Country:US
Mailing Address - Phone:972-874-1200
Mailing Address - Fax:972-874-9332
Practice Address - Street 1:3301 LONG PRAIRIE RD
Practice Address - Street 2:STE.110
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2702
Practice Address - Country:US
Practice Address - Phone:972-874-1200
Practice Address - Fax:972-874-9332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice