Individual provider · Type 1 NPI
Paul Joseph Carroll, DDS
Oral and Maxillofacial Surgery (Dentist) · San Jose, CA
NPI number
1548354095
Active
Practice location
5460 Dellwood Way
San Jose, CA 95118
Fax (408) 265-9211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 38168 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1548354095
Paul Joseph Carroll, DDS's National Provider Identifier is 1548354095, issued on Oct 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Jose, CA. The record was last updated on Feb 8, 2010.