Provider Demographics
NPI:1962895508
Name:CARPENTER, JAMES MARC (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARC
Last Name:CARPENTER
Suffix:
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 1:2160 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4902
Mailing Address - Country:US
Mailing Address - Phone:303-759-2127
Mailing Address - Fax:303-759-5435
Practice Address - Street 1:2160 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4902
Practice Address - Country:US
Practice Address - Phone:303-759-2127
Practice Address - Fax:303-759-5435
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104308122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist