Individual
MR. JASON C CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1621 N PLAZA DR, TALLAHASSEE, FL 32308-5335
(850) 466-7856
Mailing address
3612 AUSTIN DAVIS AVE, TALLAHASSEE, FL 32308-7401
(850) 877-0215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304718100
—
FL
Enumeration date
05/17/2006
Last updated
04/24/2020
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