Individual
DR. JAMES LARKIN O'CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
712 LEE ST, DES PLAINES, IL 60016-4584
(847) 296-8111
(847) 296-8113
Mailing address
712 LEE ST, DES PLAINES, IL 60016-4584
(847) 296-8111
(847) 296-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.0198899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972682151
DENTAL ORGANIZATION,APPLE DENTAL ASSOCIATES
IL
Enumeration date
02/21/2012
Last updated
02/21/2012
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