Provider Demographics
NPI:1891793899
Name:KARABASZ, SARA C (DMD, PC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:C
Last Name:KARABASZ
Suffix:
Gender:F
Credentials:DMD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2895 HAMILTON BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6172
Mailing Address - Country:US
Mailing Address - Phone:610-435-0115
Mailing Address - Fax:610-435-0116
Practice Address - Street 1:2895 HAMILTON BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6172
Practice Address - Country:US
Practice Address - Phone:610-435-0115
Practice Address - Fax:610-435-0116
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022871L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232671223OtherTAX ID#