Dr. La Shun L Carroll, DDS
Dentist, General Practice in Wakefield, Rhode Island
1104805431- Practice location
- 1 River St, Wakefield, RI 02879-3214
- Phone
- 401-783-5646
- Fax
- 888-479-4355
- Last updated
- January 26, 2015
La Shun La Rue Carroll is a Dentist, General Practice based in Wakefield, RI. La Shun La Rue Carroll practices in Wakefield, RI and has the professional credentials of DDS. The NPI Number for La Shun La Rue Carroll is 1104805431 and holds a License No. DEN03155 (RI). The current practice location address for La Shun La Rue Carroll is 1 River St, Wakefield, RI 02879-3214 and can be reached out via phone at 401-783-5646 and via fax at 888-479-4355.
Provider Profile Details
- NPI Number
- 1104805431
- Provider Name
- La Shun La Rue Carroll
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 River St, Wakefield, RI 02879-3214
- Phone Number
- 401-783-5646
- Fax Number
- 888-479-4355
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 13, 2006
- Last Update Date
- January 26, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 River St
Wakefield, RI 02879-3214 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-3214
- Phone Number
- 401-783-5646
- Fax Number
- 888-479-4355
Provider Business Mailing Address Details
- Address
- 1 River St
Wakefield, RI 02879-3214 - City
- Wakefield
- State
- RI
- Zip
- 02879-3214
- Phone Number
- 401-269-8925
- Fax Number
- 888-479-4355
License Information
- License Number
- DEN03155
- License State
- RI
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Donna M Hagerty, DDSDentist, General Practice · NPI 1417915232
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Frequently Asked Questions
What is the NPI number of Dr. La Shun L Carroll, DDS?
The NPI number of Dr. La Shun L Carroll, DDS is 1104805431. It was assigned on January 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. La Shun L Carroll, DDS?
Dr. La Shun L Carroll, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN03155.
Where does Dr. La Shun L Carroll, DDS practice?
The practice location is 1 River St, Wakefield, RI 02879-3214. The office can be reached at 401-783-5646 (phone) or 888-479-4355 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104805431 directly on the NPPES registry website.