Dr. Cecil J Carroll , DDS
Dentist - General Practice • Chesapeake, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cecil Carroll has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Cecil Carroll, DDS was a registered Dentist - General Practice practicing in Chesapeake, VA. Throughout an active medical career spanning 14 years, Dr. Carroll provided care at the practice location at 4310 INDIAN RIVER ROAD until profile deactivation on 2020-11-06.
Practice Location & Contact Primary Location
4310 Indian River Road
Ste 1
Chesapeake, VA 23325
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Chesapeake, VA
Practicing in Chesapeake, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 06, 2020
NPI status registered as active in NPPES database
Registered at 4310 INDIAN RIVER ROAD, STE 1, CHESAPEAKE, VA 23325 (Tel: 7574208790)
Registered at 4310 INDIAN RIVER ROAD, STE 1, CHESAPEAKE, VA 23325 (Tel: 7574208790)
Recorded as CECIL CARROLL, DDS
Dentist (License #VA2317 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4310 Indian River Road, Ste 1
Chesapeake, VA 23325
Phone: 7574208790
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