MEDICARE: DR. DAVID SCOTT CARTER D.D.S.

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	1223G0001X	General Practice Dentistry	4470	AZ

General Provider Information

NPI Number	:	1528052461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SCOTT CARTER D.D.S.

Provider Business Mailing Address
First Line	:	3905 E MALLORY CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-1726
Country	:	US
Telephone Number	:	480-832-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 E SOUTHERN AVE
Second Line	:	SUITE 8
City	:	TEMPE
State	:	AZ
Zip	:	85282-5403
Country	:	US
Telephone Number	:	480-967-8763
Fax Number	:	480-967-6050

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/08/2007

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