Provider Demographics
NPI:1932211372
Name:FARAONE, KAREN LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:FARAONE
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 1:348 BROADVIEW LANE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7240
Mailing Address - Country:US
Mailing Address - Phone:410-974-6020
Mailing Address - Fax:
Practice Address - Street 1:600 LIGHT ST
Practice Address - Street 2:HARBOR HEALTH CARE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3856
Practice Address - Country:US
Practice Address - Phone:410-659-0900
Practice Address - Fax:410-659-0902
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD66791223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics