Jacob R Carroll, DMD is an oral and maxillofacial surgery dentist in Glendale, AZ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jacob R Carroll, DMD NPI is 1205192663. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
20100 N 51ST AVE
SUITE C-310
GLENDALE, AZ
ZIP 85308-125
Phone: (623) 572-4300
The NPI 1205192663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/10/2012 and was last updated on 9/26/2016.