Carpenter, Joe L
Carpenter, Joe L is an sole proprietor health care provider with primary practice located at 4774 Munson St. Nw Suite 102, Canton OH 44718. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Carpenter, Joe L can be contacted via phone (330) 494-6653.Contact Information
Primary practice address
4774 Munson St. Nw Suite 102
Canton OH 44718
Phone: (330) 494-6653
Fax: (330) 494-6630
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 17113 | Ohio |
Profile Details
NPI number | 1831164466 |
---|---|
LBN Legal business name | Carpenter, Joe L |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2006 |
Last updated | Jan 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831164466 | NPPES |
Ohio | MEDICAID | 0797955 |
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