Provider Demographics
NPI:1871683631
Name:ARAKELIAN, KARL ANDRE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:ANDRE
Last Name:ARAKELIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7902
Mailing Address - Country:US
Mailing Address - Phone:978-373-0901
Mailing Address - Fax:978-373-0901
Practice Address - Street 1:18 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-7902
Practice Address - Country:US
Practice Address - Phone:978-373-0901
Practice Address - Fax:978-373-0901
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA180371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice