KELLY D CARROLL (DDS) – General Practice Dentistry, NPI 1003962960

KELLY D CARROLL (DDS) is a healthcare provider. based in Slc, Utah. specializing in General Practice Dentistry. They hold the professional credentials DDS. They hold a License No. 3251999922 (UT). The NPI Number for KELLY D CARROLL (DDS) is 1003962960

Main info

Male
Sole Proprietor
Name
KELLY D CARROLL (DDS)
NPI
1003962960
Phone
(801) 733-5858
Address
4023 E PROSPECTOR DR
Enumeration Date
25 January 2007
Last Update Date
2 August 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KELLY D CARROLL (DDS)

  • 4023 E PROSPECTOR DR

    SLC, UT 84121

    Phone: (801) 733-5858

    Type: Mailing

  • 2114 FORT UNION BLVD

    SALT LAKE CITY, UT 84121

    Phone: (801) 943-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Ultradent Products Inc ($419).

Total Amount

$456

General + Research + Ownership

Payments

5

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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Reviews

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Frequently asked questions

How do payers reference KELLY D CARROLL (DDS)?
For KELLY D CARROLL (DDS), use NPI 1003962960 as the unique 10-digit identifier.
Is there an active status for KELLY D CARROLL (DDS)?
For scheduling context, KELLY D CARROLL (DDS) is shown as active in the registry.
What expertise is attributed to KELLY D CARROLL (DDS)?
KELLY D CARROLL (DDS)'s specialty line reads General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is KELLY D CARROLL (DDS) located near Slc?
KELLY D CARROLL (DDS) currently maps to Slc, Utah in this extract.
When was this NPI issued?
Enumeration for KELLY D CARROLL (DDS) is noted as January 25, 2007 where the registry provides it.

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