Provider Demographics
NPI:1548575970
Name:CARTER, ANTHONY JERRARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JERRARD
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 1:1280 MANOR DR S
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2824
Mailing Address - Country:US
Mailing Address - Phone:954-232-9899
Mailing Address - Fax:
Practice Address - Street 1:1200 W YAMATO RD STE A4
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4428
Practice Address - Country:US
Practice Address - Phone:561-997-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145521223G0001X, 390200000X
NY0583181223E0200X
FLDN245901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program