Organization
RICHARD L. CARPENTER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L CARPENTER DDS (SOLE MEMBER)
(517) 789-8622
Entity
Organization
Contact information
Practice address
2532 SPRING ARBOR RD, UNIT 4, JACKSON, MI 49203-3663
(517) 789-8622
(517) 789-8636
Mailing address
2532 SPRING ARBOR RD, UNIT 4, JACKSON, MI 49203-3663
(517) 789-8622
(517) 789-8636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11275
MI
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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