Carter, Douglas Alan
Carter, Douglas Alan is an individual health care provider with primary practice located at 11601 Minnetonka Mills Rd , Minnetonka MN 55305-5161. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Carter, Douglas Alan can be contacted via phone (952) 935-8420.Contact Information
Primary practice address
11601 Minnetonka Mills Rd
Minnetonka MN 55305-5161
Phone: (952) 935-8420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D10370 | Minnesota |
Profile Details
| NPI number | 1376689869 |
|---|---|
| LBN Legal business name | Carter, Douglas Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376689869 | NPPES |
| Minnesota | MEDICAID | 315223500 | |
| Minnesota | MEDICAID | 352518000 |
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