Individual
DR. DENNIS LEE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
53360 CRESTVIEW DR, SOUTH BEND, IN 46635-1354
(574) 250-7039
Mailing address
PO BOX 1532, SOUTH BEND, IN 46634-1532
(574) 250-7039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006926A
IN
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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