Individual
CHARLES T. MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10033 WICKER AVE STE 9, SAINT JOHN, IN 46373-8777
(219) 365-9750
(219) 365-9845
Mailing address
10033 WICKER AVE STE 9, SAINT JOHN, IN 46373-8777
(219) 365-9750
(219) 365-9845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
BM2319932
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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