| Mike Carpenter, DDS | |
|
3093 Broadway St Boulder CO 80304-3151 | |
| (303) 443-1703 | |
| Not Available |
| Full Name | Mike Carpenter, DDS |
|---|---|
| Speciality | Dentist |
| Location | 3093 Broadway St, Boulder, Colorado |
| Authorized Official Name and Position | Donna Luehrs (BILLING SPECIALIST) |
| Authorized Official Contact | 3034431703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Carpenter, DDS 3093 Broadway St Boulder CO 80304-3151 Ph: (303) 443-1703 | Mike Carpenter, DDS 3093 Broadway St Boulder CO 80304-3151 Ph: (303) 443-1703 |
| NPI Number | 1710370176 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710370176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9586 (Colorado) | Primary |
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