Provider Demographics
NPI:1598871311
Name:SWEETMAN, KARL (DDS)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:SWEETMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 LONDONDERRY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5337
Mailing Address - Country:US
Mailing Address - Phone:940-381-1988
Mailing Address - Fax:940-591-8000
Practice Address - Street 1:515 LONDONDERRY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5337
Practice Address - Country:US
Practice Address - Phone:940-381-1988
Practice Address - Fax:940-591-8000
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics