Organization
ANDREW J CARTER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JOEL CARTER DDS MSD (PRESIDENT DOCTOR)
(334) 792-5124
Entity
Organization
Contact information
Practice address
206 EXECUTIVE PARK DRIVE, DOTHAN, AL 36303
(334) 792-5124
(334) 793-2049
Mailing address
206 EXECUTIVE PARK DRIVE, DOTHAN, AL 36303
(334) 792-5124
(334) 793-2049
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3090
LICENSE
AL
01
—
3090
DELTA DENTAL
—
01
—
619800
UNITED CORCORDIA
—
01
—
91054
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/18/2006
Last updated
08/22/2020
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