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General NPI Number Information
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NPI Number | 1780693796
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Entity Type | Individual
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Provider Name | DAVID BRIAN CARTER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 456 FURYS FERRY RD
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City | AUGUSTA
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State | GA
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Zip | 30907-9506
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Country | US
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Telephone | 706-650-0468
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Fax | 706-650-0568
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Provider Business Mailing Address
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Address Line | 456 FURYS FERRY RD
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City | AUGUSTA
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State | GA
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Zip | 30907-9506
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Country | US
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Telephone | 706-650-0468
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Fax | 706-650-0568
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10664
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License Number State | GA
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