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NPI Code Detail

MEDICARE: JOHN EDWARD CARMAN DDS

MEDICARE:   JOHN EDWARD CARMAN  DDS
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
11223E0200XEndodontics32041CA

General Provider Information

NPI Number : 1407947369
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN EDWARD CARMAN DDS
Provider Business Mailing Address
First Line : 301 ALAMO DR STE D
Second Line :
City : VACAVILLE
State : CA
Zip : 95688-4246
Country : US
Telephone Number : 707-447-7576
Fax Number :
Provider Business Practice Location Address
First Line : 301 ALAMO DR STE D
Second Line :
City : VACAVILLE
State : CA
Zip : 95688-4246
Country : US
Telephone Number : 707-447-7576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ JOHN EDWARD CARMAN DDS” Practice Location

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