Provider Demographics
NPI:1295836484
Name:KARRAS, SPIRO C (DDS)
Entity Type:Individual
Prefix:DR
First Name:SPIRO
Middle Name:C
Last Name:KARRAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5818 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3027
Mailing Address - Country:US
Mailing Address - Phone:847-677-6647
Mailing Address - Fax:
Practice Address - Street 1:5818 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3027
Practice Address - Country:US
Practice Address - Phone:847-677-6647
Practice Address - Fax:847-677-6906
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0231171223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U52937Medicare UPIN