Robert Carroll, DDS, PC

General Practice Dentistry · Lake Ozark, MO

Organization Active NPI

NPI number 1629271564

Practice location

2935 Bagnell Dam Blvd
Ste. 102
Lake Ozark, MO 65049-8661

Phone: (573) 365-6600
Fax: (573) 365-6470

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NPI record

NPI: 1629271564
Entity type: Organization (Type 2)
Enumeration date: June 7, 2007
Last updated: August 22, 2020
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	13964	MO

Mailing address

PO Box 827
Lake Ozark, MO 65049-0827

Phone: (573) 365-6600
Fax: (573) 365-6470

Authorized official

Name: Dr. Robert E Carroll, GENERAL DENTIST
Title: Owner
Phone: (573) 365-6600

About Robert Carroll, DDS, PC

Robert Carroll, DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2935 Bagnell Dam Blvd, Ste. 102, Lake Ozark, MO 65049-8661. The NPI number 1629271564 was assigned on June 7, 2007 and the record was last updated on August 22, 2020.

Robert Carroll, DDS, PC lists a license in the registry: #13964 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Robert E Carroll, GENERAL DENTIST, Owner.

Frequently asked questions

What is the NPI number of Robert Carroll, DDS, PC?

The NPI number is 1629271564.

What is the phone number of Robert Carroll, DDS, PC?

The phone number listed for the practice location is (573) 365-6600.

Where is Robert Carroll, DDS, PC located?

2935 Bagnell Dam Blvd, Ste. 102, Lake Ozark, MO 65049-8661.

What is the taxonomy code for Robert Carroll, DDS, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in Lake Ozark

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Robert Earl Carroll, GENERAL DENTIST2935 Bagnell Dam Blvd Ste 102
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