Provider Demographics
NPI:1538332549
Name:BARKER, KAREN NORDQUIST (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:NORDQUIST
Last Name:BARKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1922
Mailing Address - Country:US
Mailing Address - Phone:618-654-9866
Mailing Address - Fax:618-654-3099
Practice Address - Street 1:1117 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1922
Practice Address - Country:US
Practice Address - Phone:618-654-9866
Practice Address - Fax:618-654-3099
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019022023122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist