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Search › Arizona › 1223S0112X

Jacob Carroll, DMD

NPI 1205192663 · on the registry since 2012 · sole proprietor

Practice

Address
20100 N 51st Ave
Suite C-310
Glendale, AZ 85308
Phone
(623) 572-4300
Organisation at this address
Hearing Central
John G. Wood, Dds
Russell J Crane Pllc
Tannaz Malekzadeh Dmd
Steven C. Chang Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
390200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona