Matthew William Carter, D.M.D.
Individual provider Active NPI General Practice Dentistry · Moultrie, GA
NPI 1619174281 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1619174281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN013513 (GA)
- Practice address
- 3 Longleaf Office Park
Moultrie, GA 31768-6781 - Phone
- (229) 985-7290
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013513 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013513 | GA | |
| General Practice Dentistry | 1223G0001X | DN013513 | GA | Yes |
Addresses
Primary practice location
3 Longleaf Office Park
Moultrie, GA 31768-6781
Mailing address
3 Longleaf Office Park
Moultrie, GA 31768-6781
Phone (229) 985-7290
Other providers in Moultrie, GA
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Marsha Tillman Carlton
- Dorothy Virginia Carpenter
- Kiana Ann Cavin I
- Central Orthotics, Inc.
- Heather M Champion
- Chancy Drugs Moultrie LLC
- Jamshaid Mukhtar Cheema
All providers in Moultrie, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.