Carter Dental, PA

NPI #1366619694 in Boise, Idaho

Provider Information

NPI Number: 1366619694
Entity Type: Organization
Organization Name: Carter Dental, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 7878 USTICK RD STE 102
City: Boise
State: Idaho
ZIP Code: 83704-5006
Phone: (208) 376-6346

Authorized Official

Name: DR. W JASON CARTER, DDS
Title: OWNER/DENTIST
Phone: (208) 376-6346

Specialties & Taxonomy Codes

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

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