DR. JOHN L CARROLL (NPI# 1952340069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952340069 |
| Entity Type | Individual |
| Full Name | DR. JOHN L CARROLL |
| Credential | DMD |
| Practice Address |
1020 5th St Se Winter Haven FL 33880-4210 |
| Practice Telephone | 8632991579 |
| Practice Fax Number | 8632997086 |
| Mailing Telephone | 8632991579 |
| Mailing Fax Number | 8632997086 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9164 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043853658 | John Carroll | Marriage & Family Therapist | 400 W 23rd St Apt 5j, New York, NY 10011-2176 | 2019-10-26 |
| 1376852301 | John Carroll | Emergency Medicine | 2727 W Heading Ave, West Peoria, IL 61604-4981 | 2010-09-24 |
| 1417151440 | John Raymond Carroll | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd, Udp At Umdnj-som, Dept. of Family Medicine, Rm 2100, Stratford, NJ 08084 | 2007-06-13 |
| 1396869210 | John Francis Carroll | Pediatrics | 108 Canal Walk Blvd, Somerset, NJ 08873-7277 | 2007-03-17 |
| 1508946054 | John T Carroll | Podiatrist | 455 Boston Post Rd Ste 8, Old Saybrook, CT 06475-1554 | 2006-10-17 |
| 1457379042 | John Thomas Carroll | Obstetrics & Gynecology | 503 Thornhill Dr, Carol Stream, IL 60188-2780 | 2006-07-18 |
| 1063468932 | John Anthony Carroll | Internal Medicine | 8328 E Hartford Dr, Scottsdale, AZ 85255-6520 | 2006-05-25 |
| 1508811860 | John D Carroll | Internal Medicine | 10689 Hardin Valley Rd, Knoxville, TN 37932-1504 | 2006-05-24 |
| 1376511717 | John M Carroll | Internal Medicine | 390 Pleasant St, Malden, MA 02148-8114 | 2006-03-10 |
| 1669442869 | John Michael Carroll | Pediatrics | 6108 Garners Ferry Rd, Columbia, SC 29209-1401 | 2006-01-23 |
| Street Address |
1020 5TH ST SE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248149 | Russel Hamarnah Dmd Pllc | Dental Hygienist | 1020 5th St Se, Winter Haven, FL 33880-4210 | 2013-07-29 |
| 1902098247 | Russell Hamarnah | Dentist | 1020 5th St Se, Winter Haven, FL 33880-4210 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615497 | Winter Haven Modern Dentistry, Pa | Dentist | 565 Cypress Gardens Blvd, Winter Haven, FL 33880-4406 | 2019-11-29 |
| 1619436391 | Tiara R Lewis | Dentist | 1425 6th St Nw, Winter Haven, FL 33881-2365 | 2019-03-13 |
| 1477003200 | Dental Associates of Florida (winter Haven) Pllc | Dentist | 329 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2016-10-05 |
| 1235582735 | Jimmy Orphee | Dentist | 361 E Central Ave, Winter Haven, FL 33880-3047 | 2016-07-20 |
| 1265803274 | Kim Haufe | Dentist | 2050 Havendale Blvd Nw, Winter Haven, FL 33881-3817 | 2015-10-16 |
| 1972983898 | An Nguyen | Dentist | 317 Cypress Gardens Blvd, Winter Haven, FL 33880-4452 | 2015-06-05 |
| 1780080291 | James A Truitt | Dentist | 144 Avenue B Nw, Winter Haven, FL 33881-4506 | 2014-11-11 |
| 1891097507 | John R Eycleshimer | Dentist | 399 Ave. K, Se, Winter Haven, FL 33880 | 2010-12-01 |
| 1952566341 | Eric Christopher Garcia | Dentist | 737 W Central Ave, Winter Haven, FL 33880-2823 | 2008-07-24 |
| 1245409523 | James A Truitt Dmd Pa | Dentist | 144 Ave B Nw, Winter Haven, FL 33881 | 2008-02-21 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on DR. JOHN L CARROLL.
| 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.