Dr Randy John Carroll, DDS is a
Dentist based in Roachdale, Indiana. Dr Randy John Carroll is licensed to practice in Indiana (license number 12008237) and his current practice location is
22 E Washington St, #143, Roachdale, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 522-7676.
NPI number for Dr Randy John Carroll is 1801063979 and his current mailing address is 22 E Washington St, #143, Roachdale, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801063979.
Healthcare Provider's Profile
| Full Name | Dr Randy John Carroll |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 22 E Washington St, Roachdale, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801063979
- Provider Enumeration Date: 05/08/2008
- Last Update Date: 05/08/2008
Medical Identifiers
Medical identifiers for Dr Randy John Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801063979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 12008237 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randy John Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Randy John Carroll, DDS
22 E Washington St, #143,
Roachdale, IN 46172-0143
Ph: (765) 522-7676 | Dr Randy John Carroll, DDS
22 E Washington St, #143,
Roachdale, IN 46172-0143
Ph: (765) 522-7676 |
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