Provider Demographics
NPI:1396024667
Name:FURDUI-CARR, ELENA GABRIELA (DDS)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:GABRIELA
Last Name:FURDUI-CARR
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 1:2640 MINER RD
Mailing Address - Street 2:
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-4437
Mailing Address - Country:US
Mailing Address - Phone:580-585-5638
Mailing Address - Fax:
Practice Address - Street 1:2640 MINER RD
Practice Address - Street 2:
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-4437
Practice Address - Country:US
Practice Address - Phone:580-585-5638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0556361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice