Provider Demographics
NPI:1932392925
Name:ALLEN C KARP FAMILY DENTISTRY
Entity Type:Organization
Organization Name:ALLEN C KARP FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-495-5010
Mailing Address - Street 1:4676 PRINCESS ANNE ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:757-495-5010
Mailing Address - Fax:757-495-1984
Practice Address - Street 1:4676 PRINCESS ANNE ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-495-5010
Practice Address - Fax:757-495-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA6964122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty