Provider Demographics
NPI:1427033307
Name:HASNANI, KARIM D (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARIM
Middle Name:D
Last Name:HASNANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 BETSY PACK DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-3321
Mailing Address - Country:US
Mailing Address - Phone:423-942-5508
Mailing Address - Fax:423-942-3132
Practice Address - Street 1:507 BETSY PACK DR SUITE B
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347
Practice Address - Country:US
Practice Address - Phone:423-942-5508
Practice Address - Fax:423-942-3132
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000008210122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist