Provider Demographics
NPI:1043432321
Name:MEEK, KARL T (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:T
Last Name:MEEK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3904 E JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2215
Mailing Address - Country:US
Mailing Address - Phone:410-256-4720
Mailing Address - Fax:410-256-1102
Practice Address - Street 1:3904 E JOPPA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-2215
Practice Address - Country:US
Practice Address - Phone:410-256-4720
Practice Address - Fax:410-256-1102
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07947122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist