Provider Demographics
NPI:1205909934
Name:TROTTA, KARIN C (DMD PC)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:C
Last Name:TROTTA
Suffix:
Gender:F
Credentials:DMD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078
Mailing Address - Country:US
Mailing Address - Phone:610-769-5200
Mailing Address - Fax:610-769-5215
Practice Address - Street 1:4155 INDEPENDENCE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078
Practice Address - Country:US
Practice Address - Phone:610-769-5200
Practice Address - Fax:610-769-5215
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031381L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice