Joseph Michael Carpenter, DMD

Individual provider Active NPI General Practice Dentistry · Pilot Mountain, NC

NPI 1750738696 · NPPES record last updated Aug 17, 2016

Key facts

NPI
1750738696
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
10345 (NC)
Practice address
111 S Davis St
Pilot Mountain, NC 27041-8677
Phone
(336) 368-4708
Fax
(336) 368-2672
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
10345NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kent N. Tucker,D.D.S.,P.a. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10345 NC Yes

Addresses

Primary practice location

111 S Davis St
Pilot Mountain, NC 27041-8677

Mailing address

PO Box 699
Pilot Mountain, NC 27041-0699

Other providers in Pilot Mountain, NC

All providers in Pilot Mountain, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.