Provider Demographics
NPI:1891718342
Name:KARMY, STEVEN J (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:KARMY
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 1:1750 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2228
Mailing Address - Country:US
Mailing Address - Phone:509-525-2787
Mailing Address - Fax:509-525-4183
Practice Address - Street 1:1750 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2228
Practice Address - Country:US
Practice Address - Phone:509-525-2787
Practice Address - Fax:509-525-4183
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000101381223G0001X, 1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5079986Medicaid