Provider Demographics
NPI:1992891360
Name:CARTER, GEOFFREY JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:JAMES
Last Name:CARTER
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:PO BOX 552
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-0552
Mailing Address - Country:US
Mailing Address - Phone:989-354-2555
Mailing Address - Fax:989-354-6811
Practice Address - Street 1:112 ARBOR LANE
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1302
Practice Address - Country:US
Practice Address - Phone:989-354-2555
Practice Address - Fax:989-354-6811
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010095881223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics