Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARSON VAN ETTA, DMD
ActiveCARSON VAN ETTA, DMD is a Dentist healthcare provider located in FORT BLISS, Texas. NPI 1154085470 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT BLISS, TX
Registration Details
- NPI Number
- 1154085470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2021 (4.8032117282072 yrs)
- Last Updated
- Oct 22, 2021
- License
-
37875 (TX)
Practice Information
- Address
-
18511 HIGHLANDER MEDICS STFORT BLISS, TX, 79918Browse TX providers · Browse ZIP 79918
- Phone
- 3375312603
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT BLISS, TX
| Name | Credential | NPI |
|---|---|---|
| DR. HARVARD SADAO HORIUCHI | DDS | 1710953021 |
| ALAN J LANE | D.D.S. | 1114114568 |
| JANET MYUNG | DDS | 1417471053 |
| AARON M LAZUKA | DDS | 1558886911 |
| AQIB NAWAZ KHAN | DDS | 1447805973 |
| DR. KYLEE MCCLURE | DMD | 1730735622 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.