Individual
DR. CHAD CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,PC
Contact information
Practice address
2525 W MAIN ST, SUITE 307, RAPID CITY, SD 57702-0901
(605) 342-5995
Mailing address
2525 W MAIN ST, SUITE 307, RAPID CITY, SD 57702-0901
(605) 342-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0504
SD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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