Provider Demographics
NPI:1760405997
Name:KARMEL, RUSSELL D (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:D
Last Name:KARMEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1020
Mailing Address - Country:US
Mailing Address - Phone:516-466-1659
Mailing Address - Fax:718-849-6742
Practice Address - Street 1:8703 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2037
Practice Address - Country:US
Practice Address - Phone:718-849-5900
Practice Address - Fax:718-849-6742
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0414271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice