JACOB CARROLL, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1205192663
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | D9440 (AZ) |
Frequently Asked Questions
NPI 1205192663 is the National Provider Identifier for JACOB CARROLL, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Glendale, AZ. This NPI was enumerated on April 10, 2012.
JACOB CARROLL, DMD practices at 20100 N 51ST AVE, SUITE C-310, Glendale, AZ 85308.
Quick Facts
- NPI
- 1205192663
- Type
- Individual
- Enumerated
- Apr 10, 2012
- Last Updated
- Sep 26, 2016
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