Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY D CARROLL, DDS
Active Sole ProprietorKELLY D CARROLL, DDS is a General Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1003962960 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1003962960
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.562055190424 yrs)
- Last Updated
- Aug 2, 2018
- License
-
3251999922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2114 FORT UNION BLVDSALT LAKE CITY, UT, 84121Browse UT providers · Browse ZIP 84121
- Phone
- 8019432020
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DENNY N CHO | DDS | 1609879972 |
| RICHARD JOSEPH HAULEY JR. | DMD | 1891799201 |
| DR. THOMAS F. BRICKEY | D.M.D. | 1184623480 |
| DR. MARK SPANGLER WALLACE | DDS | 1669467213 |
| DR. GREGORY WALLACE GATRELL | D.D.S. | 1912977752 |
| DR. SCOTT RAYMOND STEIN | D.D.S. | 1154380772 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.