Individual
CARSON LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9090 SKILLMAN ST STE 283A, DALLAS, TX 75243-8263
(214) 340-2111
Mailing address
9090 SKILLMAN ST STE 283A, DALLAS, TX 75243-8263
(214) 340-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36424
TX
1223G0001X
General Practice Dentistry
Primary
36424
TX
Other
Enumeration date
08/05/2020
Last updated
03/11/2026
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