Healthcare Provider Details

I. General information

NPI: 1063394401
Provider Name (Legal Business Name): KAREN CAO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 S LANCASTER RD
DALLAS TX
75216-7167
US

IV. Provider business mailing address

390 E OAKENWALD ST APT 371
DALLAS TX
75203-1398
US

V. Phone/Fax

Practice location:
  • Phone: 214-857-1097
  • Fax:
Mailing address:
  • Phone: 248-924-7786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: