Kenneth E Carpenter D.d.s., M.s., P.c. | |
1121 E Stadium Blvd Ann Arbor MI 48104 | |
(734) 662-6772 | |
(734) 662-7973 |
Full Name | Kenneth E Carpenter D.d.s., M.s., P.c. |
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Speciality | Dentist |
Location | 1121 E Stadium Blvd, Ann Arbor, Michigan |
Authorized Official Name and Position | Kenneth Earl Carpenter (PRESIDENT CHAIRMAN) |
Authorized Official Contact | 7346626772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth E Carpenter D.d.s., M.s., P.c. 1121 E Stadium Blvd Ann Arbor MI 48104 Ph: (734) 662-6772 | Kenneth E Carpenter D.d.s., M.s., P.c. 1121 E Stadium Blvd Ann Arbor MI 48104 Ph: (734) 662-6772 |
NPI Number | 1386789758 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 09/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386789758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9401 (Michigan) | Primary |
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Regina M. Dailey, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Ingalls St, Ann Arbor, MI 48104 Phone: 734-996-0055 Fax: 734-996-5934 | |
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