Provider Demographics
NPI:1073813010
Name:KARRIKER, BRIAN DENNIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DENNIS
Last Name:KARRIKER
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 1:5014 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8009
Mailing Address - Country:US
Mailing Address - Phone:336-403-9136
Mailing Address - Fax:
Practice Address - Street 1:484 RIVER HWY STE E
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6953
Practice Address - Country:US
Practice Address - Phone:704-662-3399
Practice Address - Fax:704-662-0933
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
9031OtherNC STATE LICENSE