DR. AMANDA MARIE CARROLL (NPI# 1023670338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023670338 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE CARROLL |
| Credential | DMD |
| Practice Address |
1305 E Butte Ave Florence AZ 85132-9221 |
| Practice Telephone | 6023805122 |
| Mailing Telephone | 3092991379 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D010413 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875123 | Amanda Carroll | Specialist/Technologist | 1701 Frankfort Rd, Shelbyville, KY 40065-9451 | 2019-05-05 |
| 1215301833 | Amanda R Carroll | Social Worker | 1515 Doctors Dr Ste 4, Bossier City, LA 71111 | 2015-11-19 |
| 1326388364 | Amanda Carroll | Occupational Therapist | 2903 N Davidson St, Apt. 2033, Charlotte, NC 28205-1096 | 2013-02-28 |
| 1528315470 | Amanda Jeanne Carroll | Nurse Practitioner | 1358 Kent St, Saint Paul, MN 55117-4226 | 2012-08-09 |
| 1427692789 | Amanda Denise Carroll | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-30 |
| 1801459078 | Amanda Elizabeth Carroll | Physician Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2019-04-15 |
| 1942713946 | Amanda M Carroll | Physician Assistant | 933 Red Apple Rd, Wenatchee, WA 98801 | 2017-11-13 |
| 1396079208 | Amanda Lynn Carroll | Obstetrics & Gynecology | 3408 Office Park Dr, Marion, IL 62959-6477 | 2009-09-24 |
| 1164672226 | Amanda Mckenzie Carroll | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2008-09-25 |
| 1891810891 | Amanda Rae Carroll | Physical Therapist | 102 Campus Ave, Lewiston, ME 04240 | 2007-03-20 |
| Street Address |
1305 E BUTTE AVE |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566477 | State of Arizona Department of Corrections | Clinic/Center | 1305 E Butte Ave, Florence, AZ 85232 | 2009-05-18 |
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1740758762 | Christa Melody Moore | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2018-11-07 |
| 1073038824 | Dorothy Chinyere Igwe | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2017-08-12 |
| 1194957670 | Jennifer Mandigo | Counselor | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
| 1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
| 1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| 1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
| 1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
| 1053678516 | Florence Dental Clinic | Dentist | 2750 Kingwood, Florence, OR 97430 | 2012-04-20 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.