Provider Demographics
NPI:1124409164
Name:KARWOWSKI, PIOTR (DMD)
Entity Type:Individual
Prefix:
First Name:PIOTR
Middle Name:
Last Name:KARWOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 QUEEN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2473
Mailing Address - Country:US
Mailing Address - Phone:847-727-7661
Mailing Address - Fax:508-860-7774
Practice Address - Street 1:26 QUEEN ST
Practice Address - Street 2:FHC AEGD DENTAL DEPARTMENT
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2473
Practice Address - Country:US
Practice Address - Phone:508-860-7910
Practice Address - Fax:508-860-7774
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856924122300000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program