Healthcare Provider Details

I. General information

NPI: 1891793899
Provider Name (Legal Business Name): SARA C KARABASZ DMD, PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2895 HAMILTON BLVD SUITE 207
ALLENTOWN PA
18104-6172
US

IV. Provider business mailing address

2895 HAMILTON BLVD SUITE 207
ALLENTOWN PA
18104-6172
US

V. Phone/Fax

Practice location:
  • Phone: 610-435-0115
  • Fax: 610-435-0116
Mailing address:
  • Phone: 610-435-0115
  • Fax: 610-435-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS022871L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: