Healthcare Provider Details

I. General information

NPI: 1811098353
Provider Name (Legal Business Name): ORLA WILLIAM KARN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20905 EASTSIDE DR. D-1
CHUGIAK AK
99567
US

IV. Provider business mailing address

PO BOX 671989
CHUGIAK AK
99567
US

V. Phone/Fax

Practice location:
  • Phone: 907-688-1488
  • Fax: 907-688-7000
Mailing address:
  • Phone: 907-688-1488
  • Fax: 907-688-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number810
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: