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Active NPI 1104805431 Individual Practitioner Male Practitioner

Dr. La Shun La Rue Carroll , DDS

Dentist - General Practice • Wakefield, RI

Professional Overview & Biography Verified Profile Summary

Dr. La Shun Carroll, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wakefield, RI. Practice services are available at 1 RIVER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 River St

Wakefield, RI 028793214

Telephone 4017835646
Fax 8884794355
Associated Practice Facility / Clinic
🏢 Thundermist Health Center Facility NPI 1700041001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wakefield, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Wakefield, RI (373 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 RI DEN03155

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1588047955
Hillary Greene , FNP, RN

Nurse Practitioner - Family

NPI 1871955070

Family Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2015

Registered at 1 RIVER ST, WAKEFIELD, RI 028793214 (Tel: 4017835646)

📍
Updated Business Mailing Address January 26, 2015

Registered at 1 RIVER ST, WAKEFIELD, RI 028793214 (Tel: 4012698925)

👤
Provider Name / Credentials Updated January 26, 2015

Recorded as LA SHUN CARROLL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2015

Dentist (License #DEN03155 in RI)

🟢
Initial NPI Registration & Enumeration January 13, 2006

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: 1104805431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2006
Last Update: January 26, 2015
Sole Proprietor: No

Mailing Address

1 River St

Wakefield, RI 028793214

Phone: 4012698925

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.