MEDICARE: DR. MEGHAN CARTER DMD

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	DN21135	FL

General Provider Information

NPI Number	:	1508225665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHAN CARTER DMD

Provider Business Mailing Address
First Line	:	120 E MLK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3860
Country	:	US
Telephone Number	:	813-568-1242
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E MLK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-3860
Country	:	US
Telephone Number	:	813-568-1242
Fax Number	:

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

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	03/31/2023

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