Individual provider · NPI-1

William E Carroll, DMD, MS

Dentist, Periodontics · Somerset, KY

NPI number1861545006
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861545006
Entity type
Individual (NPI-1)
Name
William E Carroll
Credential
DMD, MS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics7497KYYes

Practice location

110 Hardin Lane
Suite 2
Somerset, KY 42503-3818

Phone 606-678-9664 · Fax 606-679-1457

Mailing address

110 Hardin Lane
Suite 2
Somerset, KY 42503-3818

Phone 606-678-9664 · Fax 606-679-1457

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