Provider Demographics
NPI:1235434762
Name:QUIGLEY, KAREN ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:QUIGLEY
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 1:665 WASHINGTON ST
Mailing Address - Street 2:UNIT 501
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1636
Mailing Address - Country:US
Mailing Address - Phone:617-968-5659
Mailing Address - Fax:
Practice Address - Street 1:101 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4540
Practice Address - Country:US
Practice Address - Phone:781-395-5545
Practice Address - Fax:781-391-8146
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN212681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice