Individual
DR. RICHARD L CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
761 W MICHIGAN AVE, STE C, JACKSON, MI 49201-1995
(517) 789-8622
(517) 789-8636
Mailing address
2100 SPRING ARBOR RD, JACKSON, MI 49203-2708
(517) 787-6982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11275
MI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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