Individual
DR. ROBERT DENNIS CARPENTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1475 PINE GROVE RD, STEAMBOAT SPRINGS, CO 80487-8803
(970) 879-1959
Mailing address
1061 MERRITT ST., STEAMBOAT SPRINGS, CO 80487
(518) 928-4964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00203193
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00203193
DENTAL LICENSE
CO
Enumeration date
06/18/2017
Last updated
08/07/2017
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