Provider Demographics
NPI:1952405995
Name:ELKIN, CARRIEANN (DDS)
Entity type:Individual
Prefix:
First Name:CARRIEANN
Middle Name:
Last Name:ELKIN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BOBCAT WAY
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5169
Mailing Address - Country:US
Mailing Address - Phone:406-452-3003
Mailing Address - Fax:406-452-1288
Practice Address - Street 1:2500 BOBCAT WAY
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5169
Practice Address - Country:US
Practice Address - Phone:406-452-3003
Practice Address - Fax:406-452-1288
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-2003122300000X
MT20031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist