Charles T. McCarroll, D.D.S.

Dentist · Saint John, IN

Individual Active NPI

NPI number 1174617237

Practice location

10033 Wicker Ave Ste 9
Saint John, IN 46373-8777
Phone
(219) 365-9750
Fax
(219) 365-9845

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NPI record

NPI
1174617237
Entity type
Individual (Type 1)
Enumeration date
October 3, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X BM2319932 IN

About Dr. McCarroll

Charles T. McCarroll, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10033 Wicker Ave Ste 9, Saint John, IN 46373-8777. The NPI number 1174617237 was assigned on October 3, 2006 and the record was last updated on July 8, 2007.

Dr. McCarroll lists a license in the registry: #BM2319932 (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles T. McCarroll, D.D.S.?

The NPI number is 1174617237.

What is the phone number of Dr. McCarroll?

The phone number listed for the practice location is (219) 365-9750.

Where is Dr. McCarroll located?

10033 Wicker Ave Ste 9, Saint John, IN 46373-8777.

What is the taxonomy code for Dr. McCarroll?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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