Individual
DR. MICHAEL ALAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1924 CLAIRMONT RD, SUITE 100, DECATUR, GA 30033-3412
(404) 325-1099
(404) 325-2397
Mailing address
1924 CLAIRMONT RD, SUITE 100, DECATUR, GA 30033-3412
(404) 325-1099
(404) 325-2397
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9027
GA BOARD OF DENTISTRY LIC
GA
Enumeration date
09/01/2006
Last updated
07/08/2007
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