DR. STACEY RITTER CARTER D.M.D. NPI 1497068118

NPI Information

NPI: 1497068118
Provider Name: DR. STACEY RITTER CARTER, D.M.D.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1635 EAST PASS ROAD
GULFPORT, MS
ZIP 39507
Phone: (228) 896-5197
Get Directions

DR. Stacey Ritter Carter, D.M.D. is a pediatric dentistry dentist in Gulfport, MS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Stacey Ritter Carter, D.M.D. NPI is 1497068118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1635 EAST PASS ROAD
GULFPORT, MS
ZIP 39507
Phone: (228) 896-5197
Fax: (228) 896-5192

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/24/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		3543-10	MISSISSIPPI	No
2	1223P0221X	Dentist	Pediatric Dentistry	3543-10	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05579706	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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