Carroll, John
Carroll, John is an individual health care provider with primary practice located at 36 Welles St Suite 240, Glastonbury CT 06033-2080. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carroll, John can be contacted via phone (860) 633-2031.Contact Information
Primary practice address
36 Welles St Suite 240
Glastonbury CT 06033-2080
Phone: (860) 633-2031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 008882 | Connecticut |
Profile Details
| NPI number | 1134250822 |
|---|---|
| LBN Legal business name | Carroll, John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134250822 | NPPES |
| Connecticut | Other | 008882 | STATE LICENSE |
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