DR. LEE VAN CARROLL (NPI# 1609076587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609076587 |
| Entity Type | Individual |
| Full Name | DR. LEE VAN CARROLL |
| Credential | D.M.D. |
| Practice Address |
1805 W Main St Ste. 2 Dothan AL 36301-1343 |
| Practice Telephone | 3347937687 |
| Practice Fax Number | 3347930067 |
| Mailing Telephone | 3347937687 |
| Mailing Fax Number | 3347930067 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4080AL | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1942490610 | Lee Gordon Carroll | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Towson, MD 21204-6808 | 2007-07-30 |
| Street Address |
1805 W MAIN ST STE. 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912196817 | John Palmer Howell | Dentist | 1805 W Main St, Suite 4, Dothan, AL 36301-1343 | 2007-10-17 |
| 1861430746 | Michael Shannon Daugherty | Dentist | 1805 W Main St, Suite 3, Dothan, AL 36301-1343 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861430746 | Michael Shannon Daugherty | Dentist | 1805 W Main St, Suite 3, Dothan, AL 36301-1343 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764394 | James P. Hannahan, D.m.d., P.C. | Dentist | 2200 Gateway Dr Ste Aa, Opelika, AL 36801-6884 | 2019-08-05 |
| 1922567692 | Hannahan Endodontic Group | Dentist | 3602b Old Shell Rd, Mobile, AL 36608-1307 | 2019-03-13 |
| 1720482417 | Timothy A. Kerper, D.m.d., P.C. | Dentist | 626a Leighton Ave, Anniston, AL 36207-5744 | 2014-10-09 |
| 1700209574 | Denton Dental of Atmore PC Dba Save-on Dental Care of Atmore | Dentist | 109 7th Ave, Atmore, AL 36502-2601 | 2014-01-29 |
| 1114264629 | Joan-marie Shanahan Manolakis | Dentist | 508 Georgian Dr, Mobile, AL 36609-3432 | 2013-01-04 |
| 1417235235 | Jess Fowler Havron | Dentist | 8154 Highway 59, Suite 203, Foley, AL 36535 | 2011-07-27 |
| 1699079772 | Dr. Ronald L. Dichiara Dmd PC | Dentist | 2040 Patton Chapel Rd Ste 100, Hoover, AL 35216-0701 | 2011-01-04 |
| 1417283680 | Kristina Michelle Hopkins | Dentist | 4500 Montevallo Road, Suite B105, Birmingham, AL 35210-3128 | 2009-10-23 |
| 1497901219 | Cullman Endodontics PC | Dentist | 1965 Al Highway 157 Ste A, Cullman, AL 35058-0672 | 2008-08-12 |
| 1609032192 | Robert Durham Barfield | Dentist | 1919 Seventh Ave. So., Birmingham, AL 35294-0001 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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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.