Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY JOHN CARROLL, DDS
Active Sole ProprietorDR. RANDY JOHN CARROLL, DDS is a Dentist healthcare provider located in ROACHDALE, Indiana. NPI 1801063979 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROACHDALE, IN
Registration Details
- NPI Number
- 1801063979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2008 (18.241902727736 yrs)
- Last Updated
- May 8, 2008
- License
-
12008237 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 E WASHINGTON ST#143ROACHDALE, IN, 461720143Browse IN providers · Browse ZIP 46172
- Phone
- 7655227676
- Primary Specialty
-
Dentist
122300000X
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.