Etheredge, Carolyn A.
Etheredge, Carolyn A. is an individual health care provider with primary practice located at 3631 N Hills Dr , Austin TX 78731-3000. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Etheredge, Carolyn A. can be contacted via phone (512) 345-2425.Contact Information
Primary practice address
3631 N Hills Dr
Austin TX 78731-3000
Phone: (512) 345-2425
Fax: (512) 345-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901018922 | Michigan |
| Dental Providers / Dentist | 122300000X | 24282 | Texas |
Profile Details
| NPI number | 1952369720 |
|---|---|
| LBN Legal business name | Etheredge, Carolyn A. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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