Individual provider · Type 1 NPI

Trae Jordan Carpenter, DMD

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1396549879 Active

Practice location

1700 W Charleston Blvd
Las Vegas, NV 89102-2335

Call (702) 774-2690 Map

Mailing address

6146 SW 18th Dr Apt 61
Portland, OR 97239-7906

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.

38 other providers at this address

Other student in an organized health care education/training program providers in Las Vegas

See all in Las Vegas →

About NPI 1396549879

Trae Jordan Carpenter, DMD's National Provider Identifier is 1396549879, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 3, 2025.