Provider Demographics
NPI:1326241704
Name:YEARGIN, KAREN MCABEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MCABEE
Last Name:YEARGIN
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:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:EDISTO
Mailing Address - State:SC
Mailing Address - Zip Code:29438-0235
Mailing Address - Country:US
Mailing Address - Phone:843-869-1294
Mailing Address - Fax:
Practice Address - Street 1:827 OYSTER PARK DR
Practice Address - Street 2:
Practice Address - City:EDISTO
Practice Address - State:SC
Practice Address - Zip Code:29438-0235
Practice Address - Country:US
Practice Address - Phone:843-869-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC31231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZ31234Medicaid