| Thomas Mark Carroll, DDS | |
|
9651 Brewerton Rd, Brewerton, NY 13029-0189 | |
| (315) 676-7900 | |
| (315) 676-7108 |
| Full Name | Thomas Mark Carroll |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 9651 Brewerton Rd, Brewerton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023043031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3T393 (New York) | Primary |
| 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 |
Timothy Restrepo I, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5501 Bartel Rd, Brewerton, NY 13029 Phone: 716-804-1591 | |
Thomas Blount, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9651 Brewerton Rd, Brewerton, NY 13029 Phone: 315-676-7900 Fax: 315-676-7108 |