Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669595880 Individual Practitioner Male Practitioner

Dr. Clark M Carroll , DMD, PC

Dentist - General Practice • Eastman, GA

Professional Overview & Biography Verified Profile Summary

Dr. Clark Carroll, DMD, PC is a registered healthcare professional specializing in Dentist - General Practice in Eastman, GA. Practice services are available at 750 MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 Medical Center Dr

Eastman, GA 310236736

Telephone 4783747184
Fax 4783744238

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eastman, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Eastman, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 8260

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9180290 (GA)
Medicaid State Provider ID
00044976A (GA)
Medicaid State Provider ID
100952 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 750 MEDICAL CENTER DR, EASTMAN, GA 310236736 (Tel: 4783747184)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 4007, EASTMAN, GA 310234007 (Tel: 4783747184)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CLARK CARROLL, DMD,PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #8260 in GA)

🟢
Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669595880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 4007

Eastman, GA 310234007

Phone: 4783747184

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.