Provider Demographics
NPI:1487687307
Name:CARTER, BETH ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:CARTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-5867
Mailing Address - Country:US
Mailing Address - Phone:812-342-0766
Mailing Address - Fax:812-342-2427
Practice Address - Street 1:154 WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-5867
Practice Address - Country:US
Practice Address - Phone:812-342-0766
Practice Address - Fax:812-342-2427
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010770A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice