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NPI Code Detail

MEDICARE: SARAH MARIE CARPENTER D.D.S.

MEDICARE: SARAH MARIE CARPENTER 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
11223P0221XPediatric Dentistry64549CA
21223P0221XPediatric Dentistry31702TX

General Provider Information

NPI Number : 1891155149
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MARIE CARPENTER D.D.S.
Provider Business Mailing Address
First Line : 2700 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-5421
Country : US
Telephone Number : 805-490-3036
Fax Number :
Provider Business Practice Location Address
First Line : 2700 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-5421
Country : US
Telephone Number : 805-490-3036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2016
Last Update Date : 03/07/2016

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