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DR. CLARK M CARROLL DMD,PC
NPI 1669595880
Dentist - General Practice in Eastman, GA

Active since April 10, 2007
750 MEDICAL CENTER DR, EASTMAN, GA 31023(478) 374-7184(478) 374-4238 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark M Carroll Dmd,pc NPPES

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

DR. CLARK M CARROLL DMD,PC (NPI 1669595880) is an individual general practice provider in Eastman, Georgia, licensed in Georgia (8260) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669595880
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLARK M CARROLLCredential: DMD,PC
Location Address750 MEDICAL CENTER DREastman, GA 31023-6736
Mailing AddressPo Box 4007Eastman, GA 31023-4007 · (478) 374-7184 · Fax (478) 374-4238
Phone(478) 374-7184
Fax(478) 374-4238
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1669595880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 8260
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.
750 MEDICAL CENTER DR, Eastman, GA 31023
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Other Identifiers 3

Medicaid00044976AGA
Medicaid100952GA
Medicaid9180290GA

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 Clark Carroll's NPI number?

The NPI number for Clark Carroll is 1669595880. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Clark Carroll located?

Clark Carroll practices at 750 Medical Center Dr, Eastman, GA 31023. The listed phone number is (478) 374-7184.

What is Clark Carroll's specialty?

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

When was this NPI record last updated?

The NPPES record for Clark Carroll was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.