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Deactivated NPI 1629061197 Deactivated / Inactive NPI Male Practitioner

Dr. Craig M Carter , DDS

Dentist • Monroe, WI

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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. Craig Carter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Craig Carter, DDS was a registered Dentist practicing in Monroe, WI. Throughout an active medical career spanning 1 years, Dr. Carter provided care at the practice location at 912 16TH AVE until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

912 16th Ave

Monroe, WI 535661762

Telephone 6083256661
Fax 6083294361
Associated Practice Facility / Clinic
🏢 Craig M. Carter D.d.s., S.c. Facility NPI 1033322367

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Monroe, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Monroe, WI (1850 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 0003142

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33452600 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Mollie Norton , DMD

Dentist - General Practice

NPI 1093329732

Doctor of Dental Medicine

Dr. Janelle Eckdhal , DDS

Dentist - General Practice

NPI 1376695007

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 912 16TH AVE, MONROE, WI 535661762 (Tel: 6083256661)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 140, 912 16TH AVE, MONROE, WI 535660140 (Tel: 6083256661)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CRAIG CARTER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0003142 in WI)

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NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629061197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: July 13, 2026
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

Po Box 140, 912 16th Ave

Monroe, WI 535660140

Phone: 6083256661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.