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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1912009184 NPPES
Georgia Other 9027 GA BOARD OF DENTISTRY LIC

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