Clark M. Carroll, DMD,PC

General Practice Dentistry · Eastman, GA

Individual Active NPI

NPI number 1669595880

Practice location

750 Medical Center Dr
Eastman, GA 31023-6736
Phone
(478) 374-7184
Fax
(478) 374-4238

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NPI record

NPI
1669595880
Entity type
Individual (Type 1)
Enumeration date
April 10, 2007
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8260 GA

Mailing address

PO Box 4007
Eastman, GA 31023-4007
Phone
(478) 374-7184
Fax
(478) 374-4238

About Dr. Carroll

Clark M. Carroll, DMD,PC is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 750 Medical Center Dr, Eastman, GA 31023-6736. The NPI number 1669595880 was assigned on April 10, 2007 and the record was last updated on July 9, 2007.

Dr. Carroll lists a license in the registry: #8260 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clark M. Carroll, DMD,PC?

The NPI number is 1669595880.

What is the phone number of Dr. Carroll?

The phone number listed for the practice location is (478) 374-7184.

Where is Dr. Carroll located?

750 Medical Center Dr, Eastman, GA 31023-6736.

What is the taxonomy code for Dr. Carroll?

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.

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