Provider Demographics
NPI:1518193820
Name:C.J. KARAS, D.D.S. OF NECEDAH.S.C
Entity Type:Organization
Organization Name:C.J. KARAS, D.D.S. OF NECEDAH.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-462-8282
Mailing Address - Street 1:1412 WHEELIHAN AVE
Mailing Address - Street 2:
Mailing Address - City:NECEDAH
Mailing Address - State:WI
Mailing Address - Zip Code:54646-8253
Mailing Address - Country:US
Mailing Address - Phone:608-565-7173
Mailing Address - Fax:608-565-2734
Practice Address - Street 1:1412 WHEELIHAN AVE
Practice Address - Street 2:
Practice Address - City:NECEDAH
Practice Address - State:WI
Practice Address - Zip Code:54646-8253
Practice Address - Country:US
Practice Address - Phone:608-565-7173
Practice Address - Fax:608-565-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5583261QD0000X
WI6264261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental