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CAROTHERS FAMILY DENTAL PA NPI 1215088877


NPI Information

NPI: 1215088877
Provider Name: CAROTHERS FAMILY DENTAL, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
310 STAGECOACH TRAIL
SUITE 700
SAN MARCOS, TX
ZIP 78666
Phone: (512) 396-4288
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CAROTHERS FAMILY DENTAL, PA is a general practice dentist in San Marcos, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CAROTHERS FAMILY DENTAL, PA NPI is 1215088877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 STAGECOACH TRAIL
SUITE 700
SAN MARCOS, TX
ZIP 78666
Phone: (512) 396-4288
Fax: (512) 396-4379

The provider's authorized official is Joseph C Sullivan .
The authorized official title is President and has the following contact phone number (512) 396-4288.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 3/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice10995TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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