Provider Demographics
NPI:1265985451
Name:GAINES, KAREN M (DDS, MSD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GAINES
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:GAINES
Other - Last Name:BATINOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MSD
Mailing Address - Street 1:UFL COLLEGE OF DENTISTRY
Mailing Address - Street 2:1395 CENTER DR. D8-18
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:352-273-7755
Mailing Address - Fax:
Practice Address - Street 1:UFL COLLEGE OF DENTISTRY
Practice Address - Street 2:1395 CENTER DR. D8-18
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0001
Practice Address - Country:US
Practice Address - Phone:352-273-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRP16291223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology