Provider Demographics
NPI:1659583979
Name:SEPP, KARA J (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:J
Last Name:SEPP
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 VANDERBILT RD
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-6216
Mailing Address - Country:US
Mailing Address - Phone:724-628-7760
Mailing Address - Fax:
Practice Address - Street 1:674 VANDERBILT RD
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-6216
Practice Address - Country:US
Practice Address - Phone:724-628-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027678L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA966276OtherUNITED CONCORDIA