Lee Van Carroll is a Endodontics in Dothan, Alabama. Lee Van Carroll practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Lee Van Carroll is 1609076587. The last update date is 2007-07-19.
Lee Van Carroll's current location address is 1805 W Main St, Dothan, Alabama. You can contact this provider via phone number 3347937687 and fax number 3347930067. The mailing address for Lee Van Carroll is 1805 W Main St, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Van Carroll |
|---|---|
| Address | 1805 W Main St, Dothan, Alabama |
| Phone Number | 3347937687 |
| Fax Number | 3347930067 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1609076587 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 1805 W Main St |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363011343 |
| Phone Number | 3347937687 |
| Fax Number | 3347930067 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 4080AL |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Lee Van Carroll by the Centers for Medicare & Medicaid Services?
The Lee Van Carroll has been issued the NPI (National Provider Identifier) 1609076587, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lee Van Carroll located?
The Lee Van Carroll is located at 1805 W Main St, Dothan, AL 363011343.
What is the Lee Van Carroll's area of specialization and corresponding taxonomy classification?
The Lee Van Carroll's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
When did the Lee Van Carroll receive its 1609076587?
The Lee Van Carroll was issued its 1609076587 on 2007-07-19, which is the date when the organization was assigned this unique identifier.
When was the Lee Van Carroll's information last updated?
The Lee Van Carroll's information was last updated on 2007-07-19.
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