Healthcare Provider Details

I. General information

NPI: 1992723357
Provider Name (Legal Business Name): DOUGLAS D. KARWOSKI D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MEDICAL CENTER DR. SUITE 200
DAYTON NV
89403
US

IV. Provider business mailing address

901 MEDICAL CENTER DR. SUITE 200
DAYTON NV
89403
US

V. Phone/Fax

Practice location:
  • Phone: 775-246-7122
  • Fax: 775-246-7123
Mailing address:
  • Phone: 775-246-7122
  • Fax: 775-246-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4278
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: