=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407782238
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMY S CARRICO DMD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2026
-----------------------------------------------------
Last Update Date | 06/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2811 NEW HARTFORD RD STE D
-----------------------------------------------------
City | OWENSBORO
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42303-1384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-686-1410
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2811 NEW HARTFORD RD STE D
-----------------------------------------------------
City | OWENSBORO
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42303-1384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-686-1410
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AMY CARRICO
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 270-686-1410
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------