NPI 1003962960
Kelly D Carroll, DDS
Practice location
- Address
- 2114 Fort Union Blvd, Salt Lake City, UT 84121
- Phone
- (801) 943-2020
- Mailing address
- 4023 E Prospector Dr, Slc, UT 84121
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003962960
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jan 2007
- Record last updated
- 2 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.