Provider Demographics
NPI:1477186468
Name:KARMARKAR, SWARADA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SWARADA
Middle Name:
Last Name:KARMARKAR
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 1:3210 BOULDER CIR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4272
Mailing Address - Country:US
Mailing Address - Phone:669-241-9827
Mailing Address - Fax:
Practice Address - Street 1:4490 W 121ST AVE STE 7
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-5603
Practice Address - Country:US
Practice Address - Phone:303-854-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002042811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice