KELLY D. CARROLL D.D.S., PC
NPI 1710450655
Dentist in Salt Lake City, UT

Active since January 03, 2019
2114 E FORT UNION BLVD, SALT LAKE CITY, UT 84121(801) 943-2020(801) 943-3394 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly D. Carroll D.d.s., Pc NPPES

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

KELLY D. CARROLL D.D.S., PC (NPI 1710450655) is a healthcare organization registered as a dentist in Salt Lake City, Utah and active in the NPI registry since January 2019. The organization lists Kim Hicken, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710450655
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKELLY D. CARROLL D.D.S., PC
Location Address2114 E FORT UNION BLVDSalt Lake City, UT 84121-3142
Mailing Address2114 E Fort Union BlvdSalt Lake City, UT 84121-3142 · (801) 943-2020 · Fax (801) 943-3394
Fax(801) 943-3394
Organization SubpartNo
Authorized OfficialKim HickenOffice Manager · (801) 943-2020
Enumeration DateJanuary 3, 2019
NPI 1710450655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2114 E FORT UNION BLVD, Salt Lake City, UT 84121

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710450655, enumerated as an "organization" on January 03, 2019.

The provider is located at 2114 E FORT UNION BLVD SALT LAKE CITY, UT 84121 and the phone number is (801) 943-2020.

Dentist with taxonomy code 122300000X.