Individual
DR. DOUGLAS ALAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 935-8420
Mailing address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 935-8420
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D10370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315223500
—
MN
05
—
352518000
—
MN
Enumeration date
01/30/2007
Last updated
07/09/2007
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