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DR. RANDY JOHN CARROLL DDS
NPI 1801063979
Dentist in Roachdale, IN

Active since May 08, 2008
22 E WASHINGTON ST, #143, ROACHDALE, IN 46172(765) 522-7676 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randy John Carroll Dds NPPES

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

DR. RANDY JOHN CARROLL DDS (NPI 1801063979) is an individual dentist in Roachdale, Indiana, licensed in Indiana (12008237) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1801063979
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RANDY JOHN CARROLLCredential: DDS
Location Address22 E WASHINGTON ST, #143Roachdale, IN 46172-0143
Mailing Address22 E Washington St, #143Roachdale, IN 46172-0143 · (765) 522-7676
Phone(765) 522-7676
Sole ProprietorYes
Enumeration DateMay 8, 2008
✔ NPI 1801063979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12008237
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.
22 E WASHINGTON ST, Roachdale, IN 46172
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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 Randy Carroll's NPI number?

The NPI number for Randy Carroll is 1801063979. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Randy Carroll located?

Randy Carroll practices at 22 E Washington St #143, Roachdale, IN 46172. The listed phone number is (765) 522-7676.

What is Randy Carroll's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Randy Carroll was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.