Individual
DR. THOMAS F CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 ROSE ST, ROOM D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 257-5859
Mailing address
800 ROSE STREET, ROOM D104, LEXINGTON, KY 40536-0297
(859) 257-1494
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60052883
—
KY
Enumeration date
12/20/2006
Last updated
03/11/2010
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