Provider Demographics
NPI:1821091570
Name:KARABASZ, JOHN DAVID (DMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:KARABASZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:JACK
Other - Middle Name:
Other - Last Name:KARABASZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1251 S CEDAR CREST BLVD
Mailing Address - Street 2:STE 306
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-770-0210
Mailing Address - Fax:610-770-9876
Practice Address - Street 1:1251 S CEDAR CREST BLVD
Practice Address - Street 2:STE 306
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-770-0210
Practice Address - Fax:610-770-9876
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019478L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics