Provider Demographics
NPI:1710171772
Name:CARTER, NORMAN ERIC (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ERIC
Last Name:CARTER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:851 E 6TH ST STE B3
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-2371
Mailing Address - Country:US
Mailing Address - Phone:951-769-8885
Mailing Address - Fax:951-769-8998
Practice Address - Street 1:851 E 6TH ST STE B3
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-2371
Practice Address - Country:US
Practice Address - Phone:951-769-8885
Practice Address - Fax:951-769-8998
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics