Healthcare Provider Details

I. General information

NPI: 1992565683
Provider Name (Legal Business Name): JENNA MARIE KARIM DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 BROADVIEW RD
PARMA OH
44134-1606
US

IV. Provider business mailing address

7107 W CROSS CREEK TRL
BRECKSVILLE OH
44141-3182
US

V. Phone/Fax

Practice location:
  • Phone: 216-351-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.027956
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: