Provider Demographics
NPI:1639244700
Name:KARWAS, FREDERICK ALAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:ALAN
Last Name:KARWAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 CLARKSON RD
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2244
Mailing Address - Country:US
Mailing Address - Phone:636-391-1120
Mailing Address - Fax:636-391-3125
Practice Address - Street 1:184 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2244
Practice Address - Country:US
Practice Address - Phone:636-391-1120
Practice Address - Fax:636-391-3125
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO127951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice