Christopher E Carroll in Winona - Pediatric Dentistry
Christopher E Carroll - NPI 1871570556
Christopher E Carroll is a Pediatric Dentistry in Winona, Minnesota. Christopher E Carroll practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Christopher E Carroll is 1871570556. The last update date is 2007-07-08.
Christopher E Carroll's current location address is 150 East Fourth St, Winona, Minnesota. You can contact this provider via phone number 5074521543 and fax number 5074526874. The mailing address for Christopher E Carroll is 150 East Fourth St, Winona, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher E Carroll |
|---|---|
| Address | 150 East Fourth St, Winona, Minnesota |
| Phone Number | 5074521543 |
| Fax Number | 5074526874 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871570556 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 150 East Fourth St |
|---|---|
| City | Winona |
| State | Minnesota (MN) |
| Post Code | 559873512 |
| Phone Number | 5074521543 |
| Fax Number | 5074526874 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8405 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4822990 | MN | MN STATE ID | |
| 33461700 | WI | WI MEDICAL ASSISTANCE | |
| 10503 | MN | DORAL DENTAL |
Post Comment/ Review Below
What is the unique identifier code issued to Christopher E Carroll by the Centers for Medicare & Medicaid Services (CMS)?
The Christopher E Carroll has been assigned the NPI (National Provider Identifier) 1871570556. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Christopher E Carroll is located?
The Christopher E Carroll is situated at the following address: 150 East Fourth St, Winona, MN, 559873512.
What is Christopher E Carroll's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christopher E Carroll is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When was the Christopher E Carroll's 1871570556 issued?
The Christopher E Carroll's 1871570556 was issued on 2005-12-23.
As of what date was the information pertaining to Christopher E Carroll, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Christopher E Carroll, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.