Provider Demographics
NPI:1235135757
Name:ARMSTRONG, KAREN J (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5248
Mailing Address - Country:US
Mailing Address - Phone:910-346-5600
Mailing Address - Fax:910-346-5396
Practice Address - Street 1:3160 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5248
Practice Address - Country:US
Practice Address - Phone:910-346-5600
Practice Address - Fax:910-346-5396
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2015-07-02
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
NC63101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990292Medicaid
NC817388OtherUNITED CONCORDIA
NC90292OtherBLUE CROSS AND BLUE SHIEL
NC286696OtherTRIGON