Individual
DR. KELDON MICHAEL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1116 W MAIN ST, HAMILTON, MT 59840-2336
(406) 363-2200
Mailing address
1116 W MAIN ST, HAMILTON, MT 59840-2336
(406) 363-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17491
MT
1223G0001X
General Practice Dentistry
77314059921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17491
MT
Other
Enumeration date
06/04/2010
Last updated
07/27/2023
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