Provider Demographics
NPI:1144340381
Name:FENICHEL, KAREN K (DMD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:K
Last Name:FENICHEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 COLD HILL RD S
Mailing Address - Street 2:SUITE 8
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3230
Mailing Address - Country:US
Mailing Address - Phone:973-543-4828
Mailing Address - Fax:973-543-1077
Practice Address - Street 1:5 COLD HILL RD S
Practice Address - Street 2:SUITE 8
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-3230
Practice Address - Country:US
Practice Address - Phone:973-543-4828
Practice Address - Fax:973-543-1077
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ191541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice