MEDICARE: STEVEN J KARMY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE00010138	WA
2	1223D0004X	Dental Anesthesiology	DE00010138	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891718342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN J KARMY DDS

Provider Business Mailing Address
First Line	:	1750 PORTLAND AVE
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2228
Country	:	US
Telephone Number	:	509-525-2787
Fax Number	:	509-525-4183

Provider Business Practice Location Address
First Line	:	1750 PORTLAND AVE
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2228
Country	:	US
Telephone Number	:	509-525-2787
Fax Number	:	509-525-4183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/05/2014

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