# RICHARD L. CARPENTER, DDS, PLLC

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

## Provider details

- **NPI number:** 1184096521
- **Authorized official:** DR. RICHARD L CARPENTER DDS (SOLE MEMBER)
- **Authorized official phone:** (517) 789-8622

## Contact information

- **Practice address:** 2532 SPRING ARBOR RD, UNIT 4, JACKSON, MI 49203-3663
- **Practice address phone:** (517) 789-8622
- **Practice address fax:** (517) 789-8636
- **Mailing address:** 2532 SPRING ARBOR RD, UNIT 4, JACKSON, MI 49203-3663
- **Mailing address phone:** (517) 789-8622
- **Mailing address fax:** (517) 789-8636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11275 | MI | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015