Cynthia Jane Carter, D.D.S.

Individual provider Active NPI General Practice Dentistry · Lytle, TX

NPI 1124145396 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124145396
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12839 (TX)
Practice address
14739 Hwy 132
Lytle, TX 78052-0886
Phone
(830) 772-4567
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12839TXMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12839 TX Yes

Addresses

Primary practice location

14739 Hwy 132
Lytle, TX 78052-0886

Mailing address

PO Box 886
14739 Hwy 132
Lytle, TX 78052-0886
Phone (830) 772-4567

Other providers in Lytle, TX

All providers in Lytle, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.