Healthcare Provider Details

I. General information

NPI: 1568162204
Provider Name (Legal Business Name): CARTER REID
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 RALSTON RD STE A
ARVADA CO
80002-2252
US

IV. Provider business mailing address

357 S BANNOCK ST UNIT 531
DENVER CO
80223-2267
US

V. Phone/Fax

Practice location:
  • Phone: 303-420-3233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206037
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: