Provider Demographics
NPI:1912147471
Name:BARTZ, KARINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:BARTZ
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 1:110 SMIRL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-2080
Mailing Address - Country:US
Mailing Address - Phone:972-213-0063
Mailing Address - Fax:
Practice Address - Street 1:110 SMIRL DR STE 101
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-2080
Practice Address - Country:US
Practice Address - Phone:917-583-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023896001223G0001X
NY054298-11223G0001X
TX303641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice