Mike Carpenter, DDS

Dentist · Boulder, CO

Organization Active NPI

NPI number 1710370176

Practice location

3093 Broadway St
Boulder, CO 80304-3151
Phone
(303) 443-1703

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NPI record

NPI
1710370176
Entity type
Organization (Type 2)
Enumeration date
March 10, 2015
Last updated
March 10, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9586 CO

Authorized official

Name
Donna Luehrs
Title
Billing Specialist
Phone
(303) 443-1703

About Mike Carpenter, DDS

Mike Carpenter, DDS is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3093 Broadway St, Boulder, CO 80304-3151. The NPI number 1710370176 was assigned on March 10, 2015 and the record was last updated on March 10, 2015.

Mike Carpenter, DDS lists a license in the registry: #9586 (CO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Donna Luehrs, Billing Specialist.

Frequently asked questions

What is the NPI number of Mike Carpenter, DDS?

The NPI number is 1710370176.

What is the phone number of Mike Carpenter, DDS?

The phone number listed for the practice location is (303) 443-1703.

Where is Mike Carpenter, DDS located?

3093 Broadway St, Boulder, CO 80304-3151.

What is the taxonomy code for Mike Carpenter, DDS?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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