Doctor profile · Federal record
Dr. Kelly Carroll, DDS
General Practice Dentistry · Salt Lake City, UT
- NPI 1003962960
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2114 Fort Union Blvd
Salt Lake City, UT 84121
(801) 943-2020 - Mailing address
-
4023 E Prospector Dr
Slc, UT 84121
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- August 2, 2018
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Utah #3251999922
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003962960. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$419
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 3 | $419.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
11
Total drug cost
$55
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 13 | 11 | $55 |
Frequently asked questions
What is Dr. Kelly Carroll's medical specialty?
Dr. Kelly Carroll practices General Practice Dentistry in Salt Lake City, UT.
Where does Dr. Kelly Carroll practice?
Dr. Kelly Carroll practices at 2114 Fort Union Blvd, Salt Lake City, UT 84121. Office phone: 8019432020.
What is Dr. Kelly Carroll's NPI?
Dr. Kelly Carroll's National Provider Identifier (NPI) is 1003962960, issued by NPPES.