DR. Thomas Irby Carroll JR., D.M.D.

NPI #1053325704 in Amory, Mississippi

Provider Information

NPI Number: 1053325704
Entity Type: Individual
Name: DR. Thomas Irby Carroll JR., D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 413A MAIN ST S
City: Amory
State: Mississippi
ZIP Code: 38821-4221
Phone: (662) 257-6023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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