Karnish Pediatric Dentistry
Dentist, Pediatric Dentistry in Shawnee, OK. Organization (NPI-2).
NPI number1164042990
StatusActive
Last updated in NPPESJan 22, 2021
Details
- NPI
- 1164042990
- Entity type
- Organization (NPI-2)
- Legal business name
- Karnish Pediatric Dentistry
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Jan 22, 2021
- Last updated
- Jan 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Karnish Pediatric Dentistry (Doing Business As)
Practice location
1414 N Kennedy Ave Ste 101Shawnee, OK 74801-4761
Phone 580-585-2005
Mailing address
Po Box 3142Shawnee, OK 74802-3142
Phone 405-585-2005
Authorized official
Sarah Karnish
Dentist/Owner
4055852005
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