Healthcare Provider Details

I. General information

NPI: 1669618161
Provider Name (Legal Business Name): CARLA LOUISE EPPEL D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC QUANTICO 3259 CATLIN AVE
QUANTICO VA
22134
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC QUANTICO 3259 CATLIN AVE
QUANTICO VA
22134
US

V. Phone/Fax

Practice location:
  • Phone: 36-818-9087
  • Fax:
Mailing address:
  • Phone: 703-681-8908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number57907
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number57907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: