Provider Demographics
NPI:1942489968
Name:BABCOCK, KAREN W (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:W
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:W
Other - Last Name:BABCOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:2311 S ENGLISH STATION RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4843
Mailing Address - Country:US
Mailing Address - Phone:302-489-9127
Mailing Address - Fax:
Practice Address - Street 1:782 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1924
Practice Address - Country:US
Practice Address - Phone:502-637-7255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY74951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice