Individual
DR. JAMIE RENALD CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
306 MALCOLM X BLVD, NEW YORK, NY 10027-4465
(212) 803-2850
Mailing address
31 KOSCIUSZKO ST APT 1A, BROOKLYN, NY 11205-5078
(336) 708-0054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060879
NY
1223G0001X
General Practice Dentistry
11473
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/17/2018
Last updated
07/03/2024
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