MEDICARE: DR. DANIEL MORGAN CARTER D.M.D.

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
1	122300000X	Dentist	8301	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1235443052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL MORGAN CARTER D.M.D.

Provider Business Mailing Address
First Line	:	1906 COLLEGE HEIGHTS BLVD # 21038
Second Line	:	ACADEMIC COMPLEX ROOM 408
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-1000
Country	:	US
Telephone Number	:	270-745-2633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1906 COLLEGE HEIGHTS BLVD # 21038
Second Line	:	ACADEMIC COMPLEX ROOM 408
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-1000
Country	:	US
Telephone Number	:	270-745-2633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	08/04/2010

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