Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB R CARROLL, DMD
Active Sole ProprietorJACOB R CARROLL, DMD is a Oral & Maxillofacial Surgery healthcare provider located in GLENDALE, Arizona. NPI 1205192663 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GLENDALE, AZ
Registration Details
- NPI Number
- 1205192663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2012 (14.372154540405 yrs)
- Last Updated
- Sep 26, 2016
- License
-
D9440 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20100 N 51ST AVESUITE C-310GLENDALE, AZ, 853085125Browse AZ providers · Browse ZIP 85308
- Phone
- 6235724300
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. GARY K LINES | DMD | 1588771125 |
| DR. CHARLES G BODE | D.M.D. | 1649375106 |
| DR. MICHAEL JAMES MANSFIELD | DMD | 1790860146 |
| DR. ANDREW MICHAEL STEINHILBER | DDS, MSD | 1336281856 |
| DR. SERGE V VERNE | D.D.S. | 1336350537 |
| DR. MICHAEL G ALLARD | DDS.MD. | 1457547713 |
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.