Provider Demographics
NPI:1265140396
Name:WHITMAN, KARSYN (MS, DMD)
Entity type:Individual
Prefix:DR
First Name:KARSYN
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:MS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22415 MARKET ST APT 1227
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-3032
Mailing Address - Country:US
Mailing Address - Phone:678-571-1191
Mailing Address - Fax:
Practice Address - Street 1:964 GLENWAY DR STE A
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-9204
Practice Address - Country:US
Practice Address - Phone:704-252-5793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC13437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program