| Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. | |
|
1086 Wyoming Ave Forty Fort PA 18704-4014 | |
| (570) 331-0909 | |
| (570) 714-5184 |
| Full Name | Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1086 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Charles Mark Carpenter (PRESIDENT) |
| Authorized Official Contact | 5703310909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. 1086 Wyoming Ave Forty Fort PA 18704-4014 Ph: (570) 331-0909 | Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c. 1086 Wyoming Ave Forty Fort PA 18704-4014 Ph: (570) 331-0909 |
| NPI Number | 1568839850 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568839850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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