Provider Demographics
NPI:1548284268
Name:CARPENTER, ROBERT ERNEST (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ERNEST
Last Name:CARPENTER
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 1:715 HILL COUNTRY DR STE 1
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5965
Mailing Address - Country:US
Mailing Address - Phone:830-257-4333
Mailing Address - Fax:830-257-4392
Practice Address - Street 1:715 HILL COUNTRY DR STE 1
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5965
Practice Address - Country:US
Practice Address - Phone:830-257-4333
Practice Address - Fax:830-257-4392
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist