Dr Clayton Albert Carpenter, DMD | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
(928) 729-8000 | |
Not Available |
Full Name | Dr Clayton Albert Carpenter |
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Gender | Male |
Speciality | Dentist |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548558042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D008235 (Arizona) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Dr Clayton Albert Carpenter, DMD Corner Of Route N12 And N7, Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Dr Clayton Albert Carpenter, DMD Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 |
Dr. Bill Shayne Tidwell, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Lydia Purvis Winters, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Tyler Carty Holland, Dentist Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Rt 7 And Rt 12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Prof. Nghiem Thanh Le, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8885 | |
Dr. Jason Ryan Price, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Christine A Rizkalla, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Ethan Curleyhair, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |