Carpenter, Matthew Forrest

Carpenter, Matthew Forrest is an sole proprietor health care provider with primary practice located at 323 N Lake Creek Dr , Round Rock TX 78681-4936. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carpenter, Matthew Forrest can be contacted via phone (512) 255-3618.

Contact Information

Primary practice address
323 N Lake Creek Dr Round Rock TX 78681-4936
Fax: (512) 255-1419
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20014 Texas

Profile Details

NPI number 1679681795
LBN Legal business name Carpenter, Matthew Forrest
Credentials D.D.S.,P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1679681795 NPPES
Texas Other 1456499 UNITED CONCORDIA INS.

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