Provider Demographics
NPI:1891838421
Name:KARNS, JASON BRADLEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:BRADLEY
Last Name:KARNS
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 1:5391 MERCHANTS VIEW SQUARE
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169
Mailing Address - Country:US
Mailing Address - Phone:571-248-0700
Mailing Address - Fax:571-248-0701
Practice Address - Street 1:5391 MERCHANTS VIEW SQUARE
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169
Practice Address - Country:US
Practice Address - Phone:571-248-0700
Practice Address - Fax:571-248-0701
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014135211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice