Randy John Carroll in Roachdale - Dentist
Randy John Carroll - NPI 1801063979
Randy John Carroll is a Dentist in Roachdale, Indiana. Randy John Carroll practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy John Carroll is 1801063979. The last update date is 2008-05-08.
Randy John Carroll's current location address is 22 E Washington St, Roachdale, Indiana. You can contact this provider via phone number 7655227676. The mailing address for Randy John Carroll is 22 E Washington St, Roachdale, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy John Carroll |
|---|---|
| Address | 22 E Washington St, Roachdale, Indiana |
| Phone Number | 7655227676 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801063979 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 22 E Washington St |
|---|---|
| City | Roachdale |
| State | Indiana (IN) |
| Post Code | 461720143 |
| Phone Number | 7655227676 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12008237 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy John Carroll by the Centers for Medicare & Medicaid Services?
The Randy John Carroll has been issued the NPI (National Provider Identifier) 1801063979, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Randy John Carroll?
The Randy John Carroll is situated at 22 E Washington St, in the city of Roachdale, state of IN, with the zip code 461720143.
What is Randy John Carroll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randy John Carroll's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Randy John Carroll receive its 1801063979 assignment from the Centers for Medicare & Medicaid Services?
The Randy John Carroll was assigned its 1801063979 by the Centers for Medicare & Medicaid Services on 2008-05-08.
When was the information related to Randy John Carroll most recently updated or refreshed?
The details pertaining to the Randy John Carroll, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-08.