Provider Demographics
NPI:1447397997
Name:GOTT, KAREN LYTLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYTLE
Last Name:GOTT
Suffix:
Gender:F
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:PO BOX 1747
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-1747
Mailing Address - Country:US
Mailing Address - Phone:903-882-3411
Mailing Address - Fax:903-882-3394
Practice Address - Street 1:2485 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-7704
Practice Address - Country:US
Practice Address - Phone:903-882-3411
Practice Address - Fax:903-882-3394
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice