Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c.

NPI #1568839850 in Forty Fort, Pennsylvania

Provider Information

NPI Number: 1568839850
Entity Type: Organization
Organization Name: Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 21, 2015
Last Updated: Aug 21, 2015

Practice Location

Address: 1086 WYOMING AVE
City: Forty Fort
State: Pennsylvania
ZIP Code: 18704-4014
Phone: (570) 331-0909

Authorized Official

Name: DR. CHARLES MARK CARPENTER, D.M.D.
Title: PRESIDENT
Phone: (570) 331-0909

Specialties & Taxonomy Codes

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

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