Provider Demographics
NPI:1033201025
Name:RICHARD R. KARLEN DDS PA
Entity Type:Organization
Organization Name:RICHARD R. KARLEN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:HODGDON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-589-5227
Mailing Address - Street 1:164 FERRY ST
Mailing Address - Street 2:JACKSON STREET ENTRANCE
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-2158
Mailing Address - Country:US
Mailing Address - Phone:973-589-5227
Mailing Address - Fax:973-589-5405
Practice Address - Street 1:164 FERRY ST
Practice Address - Street 2:JACKSON STREET ENTRANCE
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2158
Practice Address - Country:US
Practice Address - Phone:973-589-5227
Practice Address - Fax:973-589-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental