Provider Demographics
NPI:1376788307
Name:SCOTT CARTER, INC
Entity Type:Organization
Organization Name:SCOTT CARTER, INC
Other - Org Name:CARTER DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ROWE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:208-376-7599
Mailing Address - Street 1:7915 USTICK RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5851
Mailing Address - Country:US
Mailing Address - Phone:208-376-7599
Mailing Address - Fax:208-246-3277
Practice Address - Street 1:7915 USTICK RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5851
Practice Address - Country:US
Practice Address - Phone:208-376-7599
Practice Address - Fax:208-246-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty