| Fred W Carpenter Dds | |
|
1514 White Bear Ave St Paul MN 55106-1695 | |
| (651) 771-7719 | |
| (651) 774-3712 |
| Full Name | Fred W Carpenter Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1514 White Bear Ave, St Paul, Minnesota |
| Authorized Official Name and Position | Fred William Carpenter (ORTHODONTIST) |
| Authorized Official Contact | 6517717719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred W Carpenter Dds 1514 White Bear Ave St Paul MN 55106-1695 Ph: (651) 771-7719 | Fred W Carpenter Dds 1514 White Bear Ave St Paul MN 55106-1695 Ph: (651) 771-7719 |
| NPI Number | 1831365006 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831365006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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