Provider Demographics
NPI:1023187929
Name:RODDEN, KAREN ELINOR (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELINOR
Last Name:RODDEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 WEST ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2455
Mailing Address - Country:US
Mailing Address - Phone:603-352-0099
Mailing Address - Fax:
Practice Address - Street 1:222 WEST ST
Practice Address - Street 2:SUITE 14
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2455
Practice Address - Country:US
Practice Address - Phone:603-352-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26651223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics