Provider Demographics
NPI:1831307214
Name:DAMERON, KAREN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:C
Last Name:DAMERON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4434
Mailing Address - Country:US
Mailing Address - Phone:757-539-7695
Mailing Address - Fax:757-538-9419
Practice Address - Street 1:4424 SPRINGFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3412
Practice Address - Country:US
Practice Address - Phone:804-270-5353
Practice Address - Fax:804-270-0460
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014103071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice