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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORY CARLISLE AVSAR, DMD

Active Sole Proprietor

LORY CARLISLE AVSAR, DMD is a Periodontology healthcare provider located in JASPER, Alabama. NPI 1669686713 is currently active in the NPPES registry. Verify at CMS.

Periodontology · JASPER, AL

Registration Details

NPI Number
1669686713
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2007 (19.239223773824 yrs)
Last Updated
Jul 8, 2007
License
4618 (AL)
Sole Proprietor
Yes

Practice Information

Address
4330 HIGHWAY 78 E
SUITE 122
JASPER, AL, 355018905
Browse AL providers · Browse ZIP 35501
Phone
2052211341
Fax
2053841364
Primary Specialty
Periodontology
1223P0300X
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.