Healthcare Provider Details

I. General information

NPI: 1699645713
Provider Name (Legal Business Name): PATRICK F CARROLL DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 ENDICOTT ST E
LACONIA NH
03246-1992
US

IV. Provider business mailing address

36 ENDICOTT ST E
LACONIA NH
03246-1992
US

V. Phone/Fax

Practice location:
  • Phone: 603-366-4400
  • Fax:
Mailing address:
  • Phone: 603-366-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: PATRICK FRANCIS CARROLL
Title or Position: DENTIST
Credential: DMD
Phone: 978-239-0091