KELLY D CARROLL DDS
NPI 1003962960
Dentist - General Practice in Salt Lake City, UT

Q: What is Kelly Carroll's NPI number?

The NPI number for Kelly Carroll is 1003962960. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Kelly Carroll's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Carroll was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007

2114 FORT UNION BLVD, SALT LAKE CITY, UT 84121(801) 943-2020 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly D Carroll Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY D CARROLL DDS (NPI 1003962960) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (3251999922) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003962960

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKELLY D CARROLLCredential: DDS

Location Address2114 FORT UNION BLVDSalt Lake City, UT 84121

Mailing Address4023 E Prospector DrSlc, UT 84121 · (801) 733-5858

Phone(801) 943-2020

Sole ProprietorYes

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 2, 2018

✔ NPI 1003962960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 3251999922

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2114 FORT UNION BLVD, Salt Lake City, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA KERR

Dentist (General Practice)

2114 FORT UNION BLVD
SALT LAKE CITY, UT 84121

Salt Lake County (801) 943-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Carroll's NPI number?

The NPI number for Kelly Carroll is 1003962960. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Kelly Carroll located?

Kelly Carroll practices at 2114 Fort Union Blvd, Salt Lake City, UT 84121. The listed phone number is (801) 943-2020.

What is Kelly Carroll's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Carroll accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kelly Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Carroll was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.