Individual provider · Type 1 NPI
Kelly D. Carroll, DDS
General Practice Dentistry · Salt Lake City, UT
NPI number
1003962960
Active
Practice location
2114 Fort Union Blvd
Salt Lake City, UT 84121
Mailing address
4023 E Prospector Dr
Slc, UT 84121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 3251999922 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1003962960
Kelly D. Carroll, DDS's National Provider Identifier is 1003962960, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 2, 2018.