Provider Demographics
NPI:1578638946
Name:KARN, THOMAS ANDREW (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANDREW
Last Name:KARN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
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Mailing Address - Street 1:622 ROOSEVELT RD 180
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6361
Mailing Address - Country:US
Mailing Address - Phone:320-259-5078
Mailing Address - Fax:320-259-1484
Practice Address - Street 1:3401 HIGHWAY 169 N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2413
Practice Address - Country:US
Practice Address - Phone:763-559-0859
Practice Address - Fax:763-559-4356
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MND118801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics