Provider Demographics
NPI:1235223520
Name:MCFARLAND, KAREN KAY (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:MCFARLAND
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 1:1051 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-1623
Mailing Address - Country:US
Mailing Address - Phone:319-653-4778
Mailing Address - Fax:319-653-1019
Practice Address - Street 1:1051 W MADISON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-1623
Practice Address - Country:US
Practice Address - Phone:319-653-4778
Practice Address - Fax:319-653-1019
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA070761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0124461Medicaid