Provider Demographics
NPI:1598824864
Name:KARL, MAUREEN LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:LYNN
Last Name:KARL
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 1:100 GATEWAY HILLS LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7846
Mailing Address - Country:US
Mailing Address - Phone:817-910-2880
Mailing Address - Fax:817-326-2881
Practice Address - Street 1:100 GATEWAY HILLS LN
Practice Address - Street 2:SUITE D
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7846
Practice Address - Country:US
Practice Address - Phone:817-910-2880
Practice Address - Fax:817-326-2881
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice