institution
Christopher E Carroll
Pediatric Dentist in Winona, Minnesota
NPI 1275756488

Christopher E Carroll is a Pediatric Dentist based in Winona, MN and is specialized in Pediatric Dentistry. Christopher E Carroll practices in Winona, MN. The NPI Number for Christopher E Carroll is 1275756488 and holds a License No. 8405 (Minnesota).

The current practice location address for Christopher E Carroll is 150 E 4Th St, Winona, MN and can be reached out via phone at 507-452-1543 and via fax at 507-452-6874.

Location: 150 E 4Th St, Winona, MN, 55987-3512
institution
Provider Profile Details
NPI Number
1275756488
Provider Name
Christopher E Carroll
Credential
Provider Entity Type
Organization
Address
150 E 4Th St, Winona, MN, 55987-3512
Phone Number
507-452-1543
Fax Number
507-452-6874
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4822990 01 MN MN TAX ID
33461700 05 WI
institution
Provider Business Practice Location Address Details
Address
150 E 4Th St
City
State
Zip
55987-3512
Phone Number
507-452-1543
Fax Number
507-452-6874
person
Provider Business Mailing Address Details
Address
150 E 4Th St
City
State
Zip
55987-3512
Phone Number
507-452-1543
Fax Number
507-452-6874
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
8405 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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