Provider Demographics
NPI:1902988926
Name:CARLTON, KEVIN LEE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LEE
Last Name:CARLTON
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:4601 BUFFALO GAP RD STE B10
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3362
Mailing Address - Country:US
Mailing Address - Phone:325-692-7272
Mailing Address - Fax:325-692-8161
Practice Address - Street 1:4601 BUFFALO GAP RD STE B10
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3362
Practice Address - Country:US
Practice Address - Phone:325-692-7272
Practice Address - Fax:325-692-8161
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX180551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics