Ryan Carpenter Dmd PC

NPI #1023559069 in Portland, Oregon

Provider Information

NPI Number: 1023559069
Entity Type: Organization
Organization Name: Ryan Carpenter Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 2517 SE 179TH AVE
City: Portland
State: Oregon
ZIP Code: 97236-1035
Phone: (503) 761-4001

Authorized Official

Name: DR. RYAN WAYNE CARPENTER, DMD
Title: OWNER/PRESIDENT
Phone: (503) 539-0595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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