Provider Demographics
NPI:1699746966
Name:CARNEY, CHRISTOPHER MARK (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARK
Last Name:CARNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 BROAD PARK CIR S
Mailing Address - Street 2:STE 109
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7833
Mailing Address - Country:US
Mailing Address - Phone:817-225-6600
Mailing Address - Fax:817-225-6601
Practice Address - Street 1:1759 BROAD PARK CIR S
Practice Address - Street 2:STE 109
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7833
Practice Address - Country:US
Practice Address - Phone:817-225-6600
Practice Address - Fax:817-225-6601
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222101223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics