Provider Demographics
NPI:1881670743
Name:CARTER, WILLIAM MANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MANN
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 1:537 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-2627
Mailing Address - Country:US
Mailing Address - Phone:760-873-6066
Mailing Address - Fax:202-782-9195
Practice Address - Street 1:537 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-2627
Practice Address - Country:US
Practice Address - Phone:760-873-6066
Practice Address - Fax:202-782-9195
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist