Provider Demographics
NPI:1013314244
Name:ALVARADO, KARLA MARIA (DMD, MSD)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIA
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SAWGRASS LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:787-242-9158
Mailing Address - Fax:
Practice Address - Street 1:51 LONG POND RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2670
Practice Address - Country:US
Practice Address - Phone:508-815-1695
Practice Address - Fax:833-427-3280
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98641223X0400X
MA18575051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty