Organization
CHAD M. CARPENTER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD M CARPENTER DDS PC (DENTIST)
(605) 342-5995
Entity
Organization
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
D05042525
SD
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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