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NPI Code Detail

MEDICARE: JAMES WESLEY CARPENTER DDS

MEDICARE: JAMES WESLEY CARPENTER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3397WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669584066
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WESLEY CARPENTER DDS
Provider Business Mailing Address
First Line : 925 HARRISON AVENUE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3608
Country : US
Telephone Number : 304-637-4000
Fax Number : 304-637-0670
Provider Business Practice Location Address
First Line : 925 HARRISON AVENUE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3608
Country : US
Telephone Number : 304-637-4000
Fax Number : 304-637-0670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ JAMES WESLEY CARPENTER DDS” Practice Location

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