Baylie Jane Carroll, DDS Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1528707098
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2022018977 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
Practice location
346 Fort Zumwalt Sq
O Fallon, MO 63366-3065
(636) 978-6400