Individual
JEFFREY SAMUEL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
473 WOOD ST, TROY, NC 27371-2849
(910) 572-2811
Mailing address
402A MCCAULEY ST, CHAPEL HILL, NC 27516-2600
(781) 626-1662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11472
NC
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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