Healthcare Provider Details

I. General information

NPI: 1922271840
Provider Name (Legal Business Name): DEWEY G CARTER DDS,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 HEATHER RD
BURLINGTON NC
27215-6288
US

IV. Provider business mailing address

853 HEATHER RD
BURLINGTON NC
27215-6288
US

V. Phone/Fax

Practice location:
  • Phone: 336-228-7749
  • Fax: 336-570-3315
Mailing address:
  • Phone: 336-228-7749
  • Fax: 336-570-3315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number3265
License Number StateNC

VIII. Authorized Official

Name: MRS. MICHELLE LYNN SMITH
Title or Position: SECRETARY
Credential:
Phone: 336-228-7749