Carothers Family Dental, PA
Dentist, General Practice in San Marcos, TX. Organization (NPI-2).
NPI number1215088877
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1215088877
- Entity type
- Organization (NPI-2)
- Legal business name
- Carothers Family Dental, PA
- Organization subpart
- No
- Enumeration date
- Jan 12, 2007
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10995 | TX | Yes |
Practice location
310 Stagecoach TrailSuite 700
San Marcos, TX 78666
Phone 512-396-4288 · Fax 512-396-4379
Mailing address
310 Stagecoach TrlSuite 700
San Marcos, TX 78666-5134
Phone 512-396-4288 · Fax 512-396-4379
Authorized official
Joseph C Sullivan
President
5123964288
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