DR. WILLIAM BRENT CARROLL (NPI# 1225021900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225021900 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRENT CARROLL |
| Credential | DDS |
| Practice Address |
10894 S River Front Pkwy South Jordan UT 84095 |
| Mailing Address |
1568 E Fairway Ridge Rd Draper UT 84020-7681 |
| Practice Telephone | 8018781410 |
| Mailing Telephone | 6198467640 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
029221 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13 Area Branch Clinic, Camp Pendleton, CA 920555221 | 7607250459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432398 | William Carroll | Counselor | 1260 N Dutton Ave Ste 185, Santa Rosa, CA 95401-7146 | 2019-11-20 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| 1740671189 | William Carroll | Case Manager/Care Coordinator | 104 Nottingham Dr, Spring City, PA 19475-3419 | 2015-02-06 |
| 1497967673 | William Carroll | Specialist/Technologist | 5735 College Parkway, Mobile, AL 36613-2842 | 2007-05-03 |
| 1356482665 | William Wesley Carroll | Pharmacist | 3339 Meadow Green Ct, Amelia, OH 45102-1143 | 2007-02-09 |
| 1528030723 | William Martien Carroll | Psychologist | 109 Talisman, Hot Springs, AR 71901-7454 | 2006-02-02 |
| 1023652831 | William Carroll | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-05 |
| 1689158339 | William J Carroll | Physical Therapist | 924 Main St, Niagara Falls, NY 14301-1110 | 2018-09-19 |
| 1013362748 | William Carroll Jr. | Community Health Worker | 1400 Noyes St, Utica, NY 13502-3854 | 2016-05-02 |
| 1134585631 | William G Carroll | Counselor | 316 Alexander St Se, Marietta, GA 30060-8217 | 2016-01-13 |
| Street Address |
10894 S RIVER FRONT PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930289 | Edmund Warren Gubler Jr. | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-04-08 |
| 1770111692 | Tyson Bishop | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-27 |
| 1265066971 | Weston Vern Frandsen | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2020-03-03 |
| 1871159665 | Priscila Fabiana Petry Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-05-16 |
| 1972063386 | Rebecca Lynn Spearman | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2019-03-21 |
| 1811419369 | Pablo De Oliveira Bautista | Student in an Organized Health Care Education/Training Program | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2017-07-15 |
| 1417363821 | Roseman University of Health Sciences, A Nevada Non-profit Corp | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2014-07-07 |
| 1659542215 | Benjamin Earl Wall | Dentist | 10894 S River Front Pkwy, South Jordan, UT 84095-5609 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409695 | Wasatch Dental Group LLC | Dentist | 1685 W Towne Center Dr, South Jordan, UT 84095-8697 | 2020-05-26 |
| 1760022768 | Sojo Dental | Dentist | 3473 W South Jordan Parkway, Ste. 2, South Jordan, UT 84095-6016 | 2020-01-08 |
| 1730745456 | Michael Thomas | Dentist | 4775 W Daybreak Pkwy Ste 201, South Jordan, UT 84009-5140 | 2019-05-17 |
| 1710479795 | Lee Hoang Mai | Dentist | 3672 W South Jordan Pkwy Ste 104, South Jordan, UT 84009-7172 | 2018-06-05 |
| 1902321045 | Clark Dental P.C. | Dentist | 10597 S Beach Comber Way, South Jordan, UT 84009-6132 | 2017-08-10 |
| 1063949782 | Joby Chaluparambil | Dentist | 11758 S District Dr, Unit 702, South Jordan, UT 84095-6041 | 2017-05-11 |
| 1871978981 | Jacob Boyack | Dentist | 2651 W South Jordan Pkwy Ste 203, South Jordan, UT 84095-8968 | 2015-07-30 |
| 1427452614 | Genesis Dental of Riverton | Dentist | 11428 South Parkway Plaza Drive, Suite 400, South Jordan, UT 84095 | 2014-10-16 |
| 1336573120 | James R Donahoo | Dentist | 10894 S. River Front Parkway, South Jordan, UT 84095 | 2013-08-28 |
| 1881953966 | David Densley | Dentist | Roseman University, 10920 S River Front Pkwy, South Jordan, UT 84095 | 2012-05-10 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.