CARTER DENTAL PA NPI 1366619694

NPI Information

CARTER DENTAL, PA is a general practice dentist in Boise, ID. The provider is 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. CARTER DENTAL, PA NPI is 1366619694. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7878 USTICK RD STE 102
BOISE, ID
ZIP 83704-006
Phone: (208) 376-6346
Fax: (208) 246-0508

The provider's authorized official is W Jason Carter .
The authorized official title is Owner/dentist and has the following contact phone number (208) 376-6346.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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