| Dr Clark M Carroll, DMD,PC | |
|
750 Medical Center Dr, Eastman, GA 31023-6736 | |
| (478) 374-7184 | |
| (478) 374-4238 |
| Full Name | Dr Clark M Carroll |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 750 Medical Center Dr, Eastman, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669595880 | NPI | - | NPPES |
| 9180290 | Medicaid | GA | |
| 00044976A | Medicaid | GA | |
| 100952 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8260 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clark M Carroll, DMD,PC Po Box 4007, Eastman, GA 31023-4007 Ph: (478) 374-7184 | Dr Clark M Carroll, DMD,PC 750 Medical Center Dr, Eastman, GA 31023-6736 Ph: (478) 374-7184 |
Dr. Hung Xuan Ho, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5106 Oak St, Eastman, GA 31023 Phone: 478-268-4959 | |
Mr. Michael Alan Knight Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5106 Oak St, Eastman, GA 31023 Phone: 478-468-4959 Fax: 478-268-4959 | |
Dr. Byrd Daniel Harrell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 421 Plaza Ave, Eastman, GA 31023 Phone: 478-374-4716 Fax: 478-374-0903 | |
Dr. Debra Bradfield Smith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 Plaza Ave, Eastman, GA 31023 Phone: 478-374-5576 Fax: 478-374-0234 | |
Mr. Michael A. Knight Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5106 Oak St, Eastman, GA 31023 Phone: 478-268-4959 Fax: 478-268-4959 | |
Dr. Lyndsey Ann Dahlstrom, DMD Dentist Medicare: Medicare Enrolled Practice Location: 421 Plaza Ave, Eastman, GA 31023 Phone: 478-374-4716 |