Individual
DR. ROBERT J CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1465 W MAIN ST, SUN PRAIRIE, WI 53590-1837
(608) 837-5527
(608) 825-9574
Mailing address
1465 W MAIN ST, SUN PRAIRIE, WI 53590-1837
(608) 837-5527
(608) 825-9574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3538
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33482400
—
WI
Enumeration date
09/13/2006
Last updated
07/09/2007
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