Individual
JOE L CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4774 MUNSON ST. NW, SUITE 102, CANTON, OH 44718
(330) 494-6653
(330) 494-6630
Mailing address
4774 MUNSON ST. NW, SUITE 102, CANTON, OH 44718
(330) 494-6653
(330) 494-6630
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797955
—
OH
Enumeration date
02/17/2006
Last updated
01/28/2020
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