IndividualActive
Charles Mccarroll, D.D.S.
NPI 1174617237 · Dentist · Saint John, IN
Provider details
- NPI number
- 1174617237
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- BM2319932 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10033 Wicker Ave Ste 9
Saint John, IN 46373-8777
Phone: (219) 365-9750
Fax: (219) 365-9845
Street-level locationGet directions
Mailing address
10033 Wicker Ave Ste 9
Saint John, IN 46373-8777
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.