Provider Demographics
NPI:1780755512
Name:DESIMONE, KAREN ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:DESIMONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TREE FARM RD
Mailing Address - Street 2:SUITE B-200
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1435
Mailing Address - Country:US
Mailing Address - Phone:609-737-8000
Mailing Address - Fax:
Practice Address - Street 1:2 TREE FARM RD
Practice Address - Street 2:SUITE B-200
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1435
Practice Address - Country:US
Practice Address - Phone:609-737-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ179271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics