Healthcare Provider Details

I. General information

NPI: 1336117902
Provider Name (Legal Business Name): JEFFREY B CARTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 BURTON HILLS BLVD STE 200
NASHVILLE TN
37215-5902
US

IV. Provider business mailing address

40 BURTON HILLS BLVD STE 200
NASHVILLE TN
37215-5902
US

V. Phone/Fax

Practice location:
  • Phone: 615-330-6988
  • Fax:
Mailing address:
  • Phone: 615-330-6988
  • Fax: 615-327-9612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number1859284
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number0438000431
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number17290
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number10542
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number11973
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30.024329
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number38411
License Number StateTX
# 8
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number4614
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: