Provider Demographics
NPI:1891727152
Name:ABLOW, KAREN S (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:ABLOW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 DURHAM ROAD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443
Mailing Address - Country:US
Mailing Address - Phone:203-245-7926
Mailing Address - Fax:203-245-8024
Practice Address - Street 1:145 DURHAM ROAD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443
Practice Address - Country:US
Practice Address - Phone:203-245-7926
Practice Address - Fax:203-245-8024
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007442204E00000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT007442OtherDENTAL LICENSE
CT007442OtherDENTAL LICENSE
T91856Medicare UPIN
CT850000015Medicare PIN