Provider Demographics
NPI:1982609988
Name:CARNES, ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:CARNES
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 1:520 N MILES ST
Mailing Address - Street 2:STE A
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-1874
Mailing Address - Country:US
Mailing Address - Phone:270-765-7408
Mailing Address - Fax:270-769-3910
Practice Address - Street 1:520 N MILES ST
Practice Address - Street 2:STE A
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1874
Practice Address - Country:US
Practice Address - Phone:270-765-7408
Practice Address - Fax:270-769-3910
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY61701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice