Healthcare Provider Details

I. General information

NPI: 1043484611
Provider Name (Legal Business Name): WADE A. KARHAN DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 07/21/2022
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 Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. WADE ALAN KARHAN
Title or Position: PRESIDENT/DENTIST
Credential: DDS
Phone: 330-925-2986