Matthew William Carter, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013513 Issued in GA

Practice address

3 Longleaf Office Park
Moultrie, GA 31768-6781

Phone

(229) 985-7290

NPI assigned

Jun 28, 2007

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1619174281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LONGLEAF OFFICE PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686781",
            "telephone_number": "229-985-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LONGLEAF OFFICE PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686781",
            "telephone_number": "229-985-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013513",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careconnect Health, Inc. (Pediatric Convenient Care)
• Careconnect Health, Inc. (CareConnect Pediatrics)
• Careconnect Health, Inc. (CareConnect Urgent Care)
• Marsha Tillman Carlton, LCSW
• Dorothy Virginia Carpenter, LPC
• Kiana Ann Cavin I, LPN
• Central Orthotics, Inc.
• Heather M Champion, NP
• Chancy Drugs Moultrie LLC (Arwood Drug Company)
• Jamshaid Mukhtar Cheema, PA

• General Practice Dentistry in Moultrie, GA
• Providers in Moultrie, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.