Provider Demographics
NPI:1639562051
Name:KARMA ORTHODONTICS
Entity Type:Organization
Organization Name:KARMA ORTHODONTICS
Other - Org Name:ICLEAR ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-902-5327
Mailing Address - Street 1:625 W CROSSVILLE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-7503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 W CROSSVILLE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-7503
Practice Address - Country:US
Practice Address - Phone:404-902-5327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0145221223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty