Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Trae Jordan Carpenter, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396549879

Dr. Trae Jordan Carpenter, DMD is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1700 W Charleston Blvd
Las Vegas, NV 89102-2335
Phone: (702) 774-2690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OR)

Record details

NPI number1396549879
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address6146 Sw 18th Dr Apt 61, Portland, OR 97239-7906

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