CARRIE BULLACK LAIRD DMD
NPI 1386794626
Dentist - General Practice in Beaverton, OR

Active since January 11, 2007
15125 SW BEARD ROAD, BEAVERTON, OR 97007(503) 590-4300(503) 590-0269 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carrie Bullack Laird Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE BULLACK LAIRD DMD (NPI 1386794626) is an individual general practice provider in Beaverton, Oregon, licensed in Oregon (8767) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1386794626
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCARRIE BULLACK LAIRDCredential: DMD
Location Address15125 SW BEARD ROADBeaverton, OR 97007
Mailing Address2275 Glen Haven RoadLake Owesgo, OR 97034 · (971) 998-6383
Fax(503) 590-0269
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386794626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 8767
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15125 SW BEARD ROAD, Beaverton, OR 97007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386794626, enumerated as an "individual" on January 11, 2007.

The provider is located at 15125 SW BEARD ROAD BEAVERTON, OR 97007 and the phone number is (503) 590-4300.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.