Provider Demographics
NPI:1831258920
Name:TIWANA, KAREN K (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:K
Last Name:TIWANA
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 1:587 OLD GRAHAM RD PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312
Mailing Address - Country:US
Mailing Address - Phone:919-542-4911
Mailing Address - Fax:919-542-5714
Practice Address - Street 1:587 OLD GRAHAM RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:919-542-4911
Practice Address - Fax:919-542-5714
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96611223G0001X
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice