Healthcare Provider Details

I. General information

NPI: 1659376945
Provider Name (Legal Business Name): WADE ALAN KARHAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 N MAIN ST
RITTMAN OH
44270-1143
US

IV. Provider business mailing address

314 N MAIN ST
RITTMAN OH
44270-1143
US

V. Phone/Fax

Practice location:
  • Phone: 330-925-2986
  • Fax: 330-927-3065
Mailing address:
  • Phone: 330-925-2986
  • Fax: 330-927-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30-01-7364
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: