Provider Demographics
NPI:1164191136
Name:AVEY, KAREN DOREEN (RDH, MSDH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DOREEN
Last Name:AVEY
Suffix:
Gender:F
Credentials:RDH, MSDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MILL RACE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-6931
Mailing Address - Country:US
Mailing Address - Phone:540-533-5024
Mailing Address - Fax:
Practice Address - Street 1:202 MILL RACE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-6931
Practice Address - Country:US
Practice Address - Phone:540-533-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0402002522124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist