Organization · NPI-2

Brian M. Karshen D.D.S.

Dentist, Periodontics · Palos Heights, IL

NPI number1184762148
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1184762148
Entity type
Organization (NPI-2)
Legal business name
Brian M. Karshen D.D.S.
Organization subpart
No
Enumeration date
Feb 2, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics021.001937ILYes

Practice location

7600 W College Dr
Palos Heights, IL 60463-1001

Phone 708-361-1770 · Fax 708-361-2231

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001

Phone 708-361-1770 · Fax 708-361-2231

Authorized official

Brian M Karshen
President
7083611770

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