Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly D. Carroll DDS, PC

Organization Dentist · NPI 1710450655

Kelly D. Carroll DDS, PC is a Dentist in Salt Lake City, Utah. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2114 E Fort Union Blvd
Salt Lake City, UT 84121-3142
Phone: (801) 943-2020
Fax: (801) 943-3394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1710450655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Hicken — Office Manager · (801) 943-2020
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJanuary 3, 2019
Mailing address2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142

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