Provider Demographics
NPI:1417192006
Name:CARTER, JOSHUA DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
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 1:1016 MIDDLE CREEK PARKWAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3754
Mailing Address - Country:US
Mailing Address - Phone:719-488-2292
Mailing Address - Fax:719-488-9116
Practice Address - Street 1:1016 MIDDLE CREEK PARKWAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3754
Practice Address - Country:US
Practice Address - Phone:719-488-2292
Practice Address - Fax:719-488-9116
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist