Michael James Carter, DMD
Individual provider Active NPI General Practice Dentistry · Springdale, OH
NPI 1770074262 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1770074262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.026904 (OH)
- Practice address
- 403 E Kemper Rd
Springdale, OH 45246-3228 - Phone
- (513) 729-7245
- NPI assigned
- May 21, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 30.026904 | OH | MD | General Practice Dentistry |
| 10832578-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Dental Group, LLP | General Practice | Past | Accepting new patients |
| Springdale Modern Dentistry, PC, Inc. | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10832578-9922 | UT | |
| General Practice Dentistry | 1223G0001X | 10832578-9922 | UT | |
| General Practice Dentistry | 1223G0001X | 30.026904 | OH | Yes |
Addresses
Primary practice location
403 E Kemper Rd
Springdale, OH 45246-3228
Mailing address
6142 Lindsey CT
Liberty Township, OH 45044-9656
Phone (949) 378-6152
Other providers in Springdale, OH
- Maxime Manie Buru
- Kenneth Darae Bush III
- Hermenia Canty-Wilson
- Caring Hands Healthcare Services
- Kaytlyn Carter
- Brooke Cartone
- Mary Piekarski Caruso
- Jeffrey E Choate
- Cincinnati Advanced Wound Care Physicians, LLC
- Cincinnati Center for Autism
All providers in Springdale, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. 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.