Provider Demographics
NPI:1811042013
Name:TURPIN, CARL MATTHEW (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:MATTHEW
Last Name:TURPIN
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 1:308 MCMILLAN RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5324
Mailing Address - Country:US
Mailing Address - Phone:318-323-0583
Mailing Address - Fax:318-323-5996
Practice Address - Street 1:308 MCMILLAN RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5324
Practice Address - Country:US
Practice Address - Phone:318-323-0583
Practice Address - Fax:318-323-5996
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA54311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice