Organization
CARPENTER DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN CARPENTER (OFFICE MANAGER)
(740) 397-4097
Entity
Organization
Contact information
Practice address
1684 VENTURE DRIVE, STE C, MOUNT VERNON, OH 43050-3436
(740) 397-4097
(740) 397-4142
Mailing address
1684 VENTURE DRIVE, STE C, MOUNT VERNON, OH 43050-3436
(740) 397-4097
(740) 397-4142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
04/04/2024
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