Provider Demographics
NPI:1811098353
Name:KARN, ORLA WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:ORLA
Middle Name:WILLIAM
Last Name:KARN
Suffix:
Gender:M
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:PO BOX 671989
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567
Mailing Address - Country:US
Mailing Address - Phone:907-688-1488
Mailing Address - Fax:907-688-7000
Practice Address - Street 1:20905 EASTSIDE DR. D-1
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567
Practice Address - Country:US
Practice Address - Phone:907-688-1488
Practice Address - Fax:907-688-7000
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK8101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDD08105Medicaid