Provider Demographics
NPI:1386095271
Name:CARR, COURTNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:SCHWIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1430 RAILROAD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-3334
Mailing Address - Country:US
Mailing Address - Phone:970-625-1696
Mailing Address - Fax:970-972-9805
Practice Address - Street 1:1430 RAILROAD AVE STE B
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-3334
Practice Address - Country:US
Practice Address - Phone:970-625-1696
Practice Address - Fax:970-972-9805
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2034931223G0001X
WI1001376-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist