# DENNIS J CARTER DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063444537
- **Authorized official:** DENNIS J CARTER D.O. (OWNER)
- **Authorized official phone:** (918) 647-2929

## Contact information

- **Practice address:** 1013 DEWEY AVE, POTEAU, OK 74953-4409
- **Practice address phone:** (918) 647-2929
- **Practice address fax:** (918) 647-2288
- **Mailing address:** PO BOX 1055, POTEAU, OK 74953-1055
- **Mailing address phone:** (918) 647-2929
- **Mailing address fax:** (918) 647-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2689 | OK | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200085280A | — | OK |
| 01 | — | 8P193 | ARKANSAS BLUE CROSS BLUE SHIELD | AR |
| 01 | — | DF2722 | RAILROAD MEDICARE | — |