Individual
DR. KORY JOSEPH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 SOUTH ASPEN ST, STOP 89, 460 MDG, BUCKLEY AFB, CO 80011
(720) 847-4118
Mailing address
275 SOUTH ASPEN ST, STOP 89, 460 MDG, BUCKLEY AFB, CO 80011
(720) 847-4118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205196
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00205196
COLORADO DENTAL BOARD
CO
Enumeration date
08/10/2022
Last updated
01/18/2024
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