DR. Carl Edward Funkhouser, D.D.S.

NPI #1306961677 in Carmi, Illinois

Provider Information

NPI Number: 1306961677
Entity Type: Individual
Name: DR. Carl Edward Funkhouser, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 220 E MAIN ST
City: Carmi
State: Illinois
ZIP Code: 62821-1842
Phone: (618) 382-5341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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