NPI 1770102097 · live from the CMS NPI Registry
Robert Carroll, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Columbia, SC. National Provider Identifier 1770102097, active.
NPI record
| NPI | 1770102097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5953 Wescott Rd, Columbia, SC 29212 |
| Practice phone | 803-781-5225 |
| Mailing address | 755 River Rd, Columbia, SC 29212 |
| Enumerated | April 16, 2020 |
| Last updated | December 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 10415 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.