OrganizationActive
Kelly D. Carroll D.D.S., PC
NPI 1710450655 · Dentist · Salt Lake City, UT
Kelly D. Carroll D.D.S., PC is a Dentist organization in Salt Lake City, UT (NPI 1710450655).
Provider details
- NPI number
- 1710450655
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kim Hicken, Office Manager(801) 943-2020
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2114 E Fort Union Blvd
Salt Lake City, UT 84121-3142
Phone: (801) 943-2020
Fax: (801) 943-3394
Street-level locationGet directions
Mailing address
2114 E Fort Union Blvd
Salt Lake City, UT 84121-3142
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2019-01-03
Frequently asked questions
- What is Kelly D. Carroll D.D.S., PC's NPI number?
- Kelly D. Carroll D.D.S., PC's National Provider Identifier (NPI) is 1710450655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly D. Carroll D.D.S., PC?
- Kelly D. Carroll D.D.S., PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kelly D. Carroll D.D.S., PC located?
- Kelly D. Carroll D.D.S., PC's practice location on file with NPPES is 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142.
- What is Kelly D. Carroll D.D.S., PC's phone number?
- The practice phone number listed in the NPPES registry for Kelly D. Carroll D.D.S., PC is (801) 943-2020.
- Who is the authorized official for Kelly D. Carroll D.D.S., PC?
- The authorized official listed on Kelly D. Carroll D.D.S., PC's NPPES record is Kim Hicken, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly D. Carroll D.D.S., PC's NPI active?
- Yes — Kelly D. Carroll D.D.S., PC's NPI (1710450655) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.