Provider Demographics
NPI:1821416835
Name:KARLIN, NEAL W (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:W
Last Name:KARLIN
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 1:45 W JEFFERSON ST STE L
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-2307
Mailing Address - Country:US
Mailing Address - Phone:602-566-9005
Mailing Address - Fax:602-894-0251
Practice Address - Street 1:45 W JEFFERSON ST # L
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-2307
Practice Address - Country:US
Practice Address - Phone:602-566-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15649122300000X
AZD0094061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist