CHRISTOPHER E CARROLL NPI 1275756488

NPI Information

NPI: 1275756488
Provider Name: CHRISTOPHER E CARROLL
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Organization
Other Name: PEDIATRIC DENTAL CARE
Address: 150 E 4TH ST
WINONA, MN
ZIP 55987
Phone: (507) 452-1543

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NPI Details

CHRISTOPHER E CARROLL is a pediatric dentistry dentist in Winona, MN. The provider is 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. CHRISTOPHER E CARROLL NPI is 1275756488. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pediatric Dental Care.

The provider's business location address is:

150 E 4TH ST
WINONA, MN
ZIP 55987-512
Phone: (507) 452-1543
Fax: (507) 452-6874

The provider's authorized official is Christopher E Carroll .
The authorized official title is Owner and has the following contact phone number (507) 452-1543.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	8405	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33461700	MEDICAID	WISCONSIN
2	4822990	OTHER	MINNESOTA	MN TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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