Dr Amanda Marie Carroll, DMD | |
1305 E Butte Ave, Florence, AZ 85132-9221 | |
(602) 380-5122 | |
Not Available |
Full Name | Dr Amanda Marie Carroll |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 1305 E Butte Ave, Florence, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023670338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D010413 (Arizona) | Primary |
Entity Name | San Carlos Apache Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
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Dr Amanda Marie Carroll, DMD 1305 E Butte Ave, Florence, AZ 85132-9221 Ph: (309) 299-1379 | Dr Amanda Marie Carroll, DMD 1305 E Butte Ave, Florence, AZ 85132-9221 Ph: (602) 380-5122 |
Kel-lee Star Harling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4374 E Butte Ave, Florence, AZ 85132 Phone: 520-868-0201 | |
Dr. Jason K Whetten, DMD Dentist Medicare: Medicare Enrolled Practice Location: 495 N Pinal Pkwy Ste 101, Florence, AZ 85132 Phone: 480-202-0992 | |
Dr. Curtis D Spann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3250 N Pinal Pkwy, Florence, AZ 85132 Phone: 520-868-2048 | |
Dr. Lawrence George Groop, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3385 N Hunt Hwy Ste 127, Florence, AZ 85132 Phone: 520-723-0655 | |
Dr. Cyrus Faramroze Austin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bowling Rd., Florence, AZ 85132 Phone: 520-868-9095 Fax: 520-868-5272 | |
Mr. Carlos Lavor Weekly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1305 East Butte, Florence, AZ 85132 Phone: 520-868-4011 Fax: 520-868-8227 |