# CARRICK DENTISTRY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992243901
- **Authorized official:** MRS. SANDRA CARRICK (EXECUTRIX OF JOE CARRICK ESTATE)
- **Authorized official phone:** (281) 795-0199

## Contact information

- **Practice address:** 1805 W WHITE OAK TER, STE. D, CONROE, TX 77304-3456
- **Practice address phone:** (936) 828-0676
- **Practice address fax:** (936) 494-0683
- **Mailing address:** 1805 W WHITE OAK TER, STE. D, CONROE, TX 77304-3456
- **Mailing address phone:** (936) 828-0676
- **Mailing address fax:** (936) 494-0683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017