Provider Demographics
NPI:1588247886
Name:ARROWHEAD DENTAL CENTER CARTER CHRISTENSEN, PLLC
Entity type:Organization
Organization Name:ARROWHEAD DENTAL CENTER CARTER CHRISTENSEN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-782-0022
Mailing Address - Street 1:1513 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-7231
Mailing Address - Country:US
Mailing Address - Phone:775-782-0022
Mailing Address - Fax:
Practice Address - Street 1:1513 US HIGHWAY 395 N
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-7231
Practice Address - Country:US
Practice Address - Phone:775-782-0022
Practice Address - Fax:775-782-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental