Individual provider · Type 1 NPI

Jacob Andrew Carlton, DMD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1043889207 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

2828 Lemmon Ave Apt 1138
Dallas, TX 75204-3721

Other practice locations

  • 6333 Forest Park Rd # 130, Dallas, TX 75235-5461 · (214) 645-3999

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043889207

Jacob Andrew Carlton, DMD's National Provider Identifier is 1043889207, issued on Jun 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jun 22, 2021.