Provider Demographics
NPI:1508225665
Name:CARTER, MEGHAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 E MLK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3860
Mailing Address - Country:US
Mailing Address - Phone:813-568-1242
Mailing Address - Fax:
Practice Address - Street 1:120 E MLK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3860
Practice Address - Country:US
Practice Address - Phone:813-568-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist