Thomas Mark Carroll, DDS is a
Dentist based in Brewerton, New York. Thomas Mark Carroll is licensed to practice in New York (license number 3T393) and his current practice location is
9651 Brewerton Rd, Brewerton, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 676-7900.
NPI number for Thomas Mark Carroll is 1023043031 and his current mailing address is Po Box 189, 9651 Brewerton Rd, Brewerton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023043031.
Healthcare Provider's Profile
| Full Name | Thomas Mark Carroll |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 9651 Brewerton Rd, Brewerton, New York |
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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: 1023043031
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Thomas Mark Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023043031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 3T393 (New York) | 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. Thomas Mark 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 |
|---|
Thomas Mark Carroll, DDS
Po Box 189, 9651 Brewerton Rd,
Brewerton, NY 13029-0189
Ph: (315) 676-7900 | Thomas Mark Carroll, DDS
9651 Brewerton Rd,
Brewerton, NY 13029-0189
Ph: (315) 676-7900 |
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