Corey Carroll, D.M.D

Dentist · Fort Jackson, SC

Individual Active NPI

NPI number 1699221275

Practice location

4323 Hill Street
Fort Jackson, SC 29207
Phone
(803) 751-6209

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NPI record

NPI
1699221275
Entity type
Individual (Type 1)
Enumeration date
September 1, 2016
Last updated
September 1, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9829508-8903 UT
Dentist 122300000X 9829508-9922 UT

About Dr. Carroll

Corey Carroll, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4323 Hill Street, Fort Jackson, SC 29207. The NPI number 1699221275 was assigned on September 1, 2016 and the record was last updated on September 1, 2016.

Dr. Carroll lists 2 licenses in the registry: #9829508-8903 (UT) for Dentist; #9829508-9922 (UT) 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 Corey Carroll, D.M.D?

The NPI number is 1699221275.

What is the phone number of Dr. Carroll?

The phone number listed for the practice location is (803) 751-6209.

Where is Dr. Carroll located?

4323 Hill Street, Fort Jackson, SC 29207.

What is the taxonomy code for Dr. Carroll?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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