Carpenter, Michael Alan
Carpenter, Michael Alan is an individual health care provider with primary practice located at 1924 Clairmont Rd Suite 100, Decatur GA 30033-3412. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Carpenter, Michael Alan can be contacted via phone (404) 325-1099.Contact Information
Primary practice address
1924 Clairmont Rd Suite 100
Decatur GA 30033-3412
Phone: (404) 325-1099
Fax: (404) 325-2397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 9027 | Georgia |
Profile Details
| NPI number | 1912009184 |
|---|---|
| LBN Legal business name | Carpenter, Michael Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1912009184 | NPPES |
| Georgia | Other | 9027 | GA BOARD OF DENTISTRY LIC |
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