Healthcare Provider Details

I. General information

NPI: 1760863583
Provider Name (Legal Business Name): KARA CARLETON D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15435 GLENEAGLE DR STE 200
COLORADO SPRINGS CO
80921
US

IV. Provider business mailing address

15435 GLENEAGLE DR STE 200
COLORADO SPRINGS CO
80921-2542
US

V. Phone/Fax

Practice location:
  • Phone: 719-481-6788
  • Fax:
Mailing address:
  • Phone: 719-481-6788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00203022
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN014984
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: