ROBERT CARROLL, DDS, PC (NPI# 1629271564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629271564 |
| Entity Type | Organization |
| Organization Name | ROBERT CARROLL, DDS, PC |
| Practice Address |
2935 Bagnell Dam Blvd Ste. 102 Lake Ozark MO 65049-8661 |
| Mailing Address |
Po Box 827 Lake Ozark MO 65049-0827 |
| Practice Telephone | 5733656600 |
| Practice Fax Number | 5733656470 |
| Mailing Telephone | 5733656600 |
| Mailing Fax Number | 5733656470 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT E CARROLL (OWNER) |
| Authorized Official Telephone | 5733656600 |
| Authorized Official Credential | GENERAL DENTIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13964 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TYPE 1 NPI | 1073532800 | 01 |
| Street Address |
2935 BAGNELL DAM BLVD STE. 102 |
| City | LAKE OZARK |
| State | MO |
| Zip Code | 65049-8661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099725 | Embark By Calo | Counselor | 110 Crossing Drive Suite 1, Lake Ozark, MO 65049 | 2017-08-21 |
| 1184006843 | Whitney Lodge | Pharmacist | 1870-c Bagnell Blvd, Lake Ozark, MO 65049 | 2015-06-18 |
| 1083907869 | Darin Thomas Puppel | Massage Therapist | 121 Crossings W, Ste F, Lake Ozark, MO 65049 | 2011-05-26 |
| 1407011851 | The Lime In The Coconut Specialty Compounding Pharmacy, LLC | Pharmacy | 121 Crossings West, # F, Lake Ozark, MO 65049 | 2008-07-25 |
| 1821270620 | Barnes Medical Clinic PC | Clinic/Center | 121 Crossings West Drive, #5, Lake Ozark, MO 65049 | 2007-12-04 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1891825592 | Karen L. Jenkins | Speech-Language Pathologist | 1571 Bagnell Dam Blvd., Box 1960, Lake Ozark, MO 65049 | 2007-03-06 |
| 1689741035 | Morrow Chiropractic Clinic PC | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2006-11-29 |
| 1891802443 | Lake Regional Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 1870-c Bagnell Dam Blvd, Lake Ozark, MO 65049 | 2006-08-23 |
| 1033659545 | Marshal Morrow | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2017-03-02 |
| Find all providers in zip 65049 | ||||
| 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 |
|---|---|---|---|---|
| 1073532800 | Robert Earl Carroll | Dentist | 2935 Bagnell Dam Blvd Ste 102, Lake Ozark, MO 65049-8661 | 2006-07-19 |
| 1023090081 | Premier Dental and Oral Health Group | Dentist | 24 N Shore Dr, Lake Ozark, MO 65049-7111 | 2005-11-16 |
| 1285616235 | Ronald Eric Massie | Dentist | 24 North Shore Dr, Lake Ozark, MO 65026-5721 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OZARK |
| Zip Code | 65049 |
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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.