Thomas Irby Carroll JR. D.M.D.

NPI 1053325704 - Dentist - 122300000X

NPI Details
NPI 1053325704
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
413A MAIN ST S
AMORY MS, 38821-4221, US
Phone (662) 257-6023
Fax
Business Location
413A MAIN ST S
AMORY MS, 38821-4221, US
Phone (662) 257-6023
Fax
Toxanomy
Taxonomy Code 122300000X
License State Mississippi
License Number 2465-89
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According to our database, Dr. Thomas Irby Carroll JR. D.M.D. NPI is 1053325704, taxonomy code is 122300000X and license number is 2465-89, license state is located at Mississippi. Thomas Irby Carroll JR. D.M.D. physically located at 413a Main St S, Amory MS, 38821-4221. NPI Number Thomas Irby Carroll JR. D.M.D. has the Individual type.

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1053325704 NPI number is provided on an as is basis without warranty of any kind. 1053325704 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Irby Carroll JR. D.M.D. are for informational purposes only.