Individual
COREY SHANNON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
415 N LAKE DR, PRESTONSBURG, KY 41653-1223
(606) 886-4260
Mailing address
415 N LAKE DR, PRESTONSBURG, KY 41653-1223
(606) 886-4260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10473
KY
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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