Provider Demographics
NPI:1922247766
Name:C,J. KARAS, D.D.S., S.C.
Entity Type:Organization
Organization Name:C,J. KARAS, D.D.S., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-462-8282
Mailing Address - Street 1:1104 ACADEMY ST
Mailing Address - Street 2:P.O. BOX 166
Mailing Address - City:ELROY
Mailing Address - State:WI
Mailing Address - Zip Code:53929-1004
Mailing Address - Country:US
Mailing Address - Phone:608-462-8282
Mailing Address - Fax:608-462-8250
Practice Address - Street 1:1104 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:ELROY
Practice Address - State:WI
Practice Address - Zip Code:53929-1004
Practice Address - Country:US
Practice Address - Phone:608-462-8282
Practice Address - Fax:608-462-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI55831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty