Provider Demographics
NPI:1366465114
Name:REED, KAREN GALLAGHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:GALLAGHER
Last Name:REED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:G
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 721845
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172-2036
Mailing Address - Country:US
Mailing Address - Phone:405-227-8004
Mailing Address - Fax:
Practice Address - Street 1:609 S KELLY AVE
Practice Address - Street 2:SUITE A1
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003
Practice Address - Country:US
Practice Address - Phone:405-227-8004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731557900OtherTAX ID
OK1366465114OtherNPI