Provider Demographics
NPI:1760518047
Name:KARREN, JOSEPH CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CRAIG
Last Name:KARREN
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 1:1480 ORCHARD DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-5108
Mailing Address - Country:US
Mailing Address - Phone:801-295-9500
Mailing Address - Fax:801-295-5512
Practice Address - Street 1:1480 ORCHARD DR
Practice Address - Street 2:SUITE 110
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-5108
Practice Address - Country:US
Practice Address - Phone:801-295-9500
Practice Address - Fax:801-295-5512
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1377811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice