Provider Demographics
NPI:1023175726
Name:CARTER, ROY THOMAS II (DDS)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:THOMAS
Last Name:CARTER
Suffix:II
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 1:1001 W NINE MILE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:23075-1146
Mailing Address - Country:US
Mailing Address - Phone:804-737-7482
Mailing Address - Fax:804-737-7138
Practice Address - Street 1:1001 W NINE MILE RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:23075-1146
Practice Address - Country:US
Practice Address - Phone:804-737-7482
Practice Address - Fax:804-737-7138
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014104091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice