Provider Demographics
NPI:1770604357
Name:CARRINGTON, VENITRESS R (DDS)
Entity type:Individual
Prefix:DR
First Name:VENITRESS
Middle Name:R
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:VENITRESS
Other - Middle Name:R
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3218 MILL ST NE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2538
Mailing Address - Country:US
Mailing Address - Phone:770-786-2754
Mailing Address - Fax:770-786-2711
Practice Address - Street 1:3218 MILL ST NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2538
Practice Address - Country:US
Practice Address - Phone:770-786-2754
Practice Address - Fax:770-786-2711
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0125021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice