Provider Demographics
NPI:1225007370
Name:CARPENTER, LEWIS TODD (DDS, MS DIPL ABP)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:TODD
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:DDS, MS DIPL ABP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 WOOD RD BLDG 9
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-1119
Mailing Address - Country:US
Mailing Address - Phone:301-295-4361
Mailing Address - Fax:
Practice Address - Street 1:8955 WOOD RD BLDG. 9
Practice Address - Street 2:BLDG 9.
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-295-4361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR29981223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics