Provider Demographics
NPI:1457523979
Name:KAREN R. BREMER D.D.S., R.D.H. & ASSOCIATES P.L.L.C
Entity Type:Organization
Organization Name:KAREN R. BREMER D.D.S., R.D.H. & ASSOCIATES P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BREMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, RDH
Authorized Official - Phone:919-598-9900
Mailing Address - Street 1:2700 S MIAMI BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9416
Mailing Address - Country:US
Mailing Address - Phone:919-598-9900
Mailing Address - Fax:919-598-9500
Practice Address - Street 1:2700 S MIAMI BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9416
Practice Address - Country:US
Practice Address - Phone:919-598-9900
Practice Address - Fax:919-598-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC44981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty