Individual
DR. ROBERT EARL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GENERAL DENTIST
Contact information
Practice address
2935 BAGNELL DAM BLVD STE 102, LAKE OZARK, MO 65049-8661
(573) 365-6600
(573) 365-6470
Mailing address
PO BOX 827, 2935 BAGNELL DAM BLVD. STE. 102, LAKE OZARK, MO 65049-0827
(573) 365-6600
(573) 365-6470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO13964
MO
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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