Provider Demographics
NPI:1174710081
Name:AYER, CARRIE LYNN (DMD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:LYNN
Last Name:AYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21801 E COUNTRY VISTA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7727
Mailing Address - Country:US
Mailing Address - Phone:509-926-5272
Mailing Address - Fax:
Practice Address - Street 1:21801 E COUNTRY VISTA DR STE 105
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7727
Practice Address - Country:US
Practice Address - Phone:509-926-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5585122300000X
CA57183122300000X
HICSDT-31122300000X
WADE60577716122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist