Dr. Kermit Clayton Carpenter , DDS
Dentist - General Practice • Upland, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kermit Carpenter has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kermit Carpenter, DDS was a registered Dentist - General Practice practicing in Upland, CA. Throughout an active medical career spanning 16 years, Dr. Carpenter provided care at the practice location at 168 N EUCLID AVE until profile deactivation on 2023-03-15.
Practice Location & Contact Primary Location
168 N Euclid Ave
Upland, CA 917866035
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Upland, CA
Practicing in Upland, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 15, 2023
NPI status registered as active in NPPES database
Registered at 168 N EUCLID AVE, UPLAND, CA 917866035 (Tel: 9099828893)
Registered at 1729 N REDDING WAY, UPLAND, CA 917841959 (Tel: 9099812350)
Recorded as KERMIT CARPENTER, DDS
Dentist (License #15024 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1729 N Redding Way
Upland, CA 917841959
Phone: 9099812350
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