Provider Demographics
NPI:1962568279
Name:CARTER, JAMES L III (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:CARTER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 CONGRESS PKWY S
Mailing Address - Street 2:PO BOX 607
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-2822
Mailing Address - Country:US
Mailing Address - Phone:423-745-1988
Mailing Address - Fax:423-745-1515
Practice Address - Street 1:2416 CONGRESS PKWY S
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-2822
Practice Address - Country:US
Practice Address - Phone:423-745-1988
Practice Address - Fax:423-745-1515
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN71821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice