Individual provider · Type 1 NPI

Blake Carroll, DDS

Pediatric Dentistry · Richmond, VA

NPI number 1821921750 Active

Practice location

1000 E Broad St
Richmond, VA 23219-1930

Call (804) 828-9095 Map

Mailing address

2320 Floyd Ave Apt A
Richmond, VA 23220-4408

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401420090 (VA)

Pediatric Dentistry: 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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About NPI 1821921750

Blake Carroll, DDS's National Provider Identifier is 1821921750, issued on Jun 8, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Richmond, VA. The record was last updated on Jun 8, 2026.