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
Fax: (330) 494-6630
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831164466 NPPES
Ohio MEDICAID 0797955

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