Healthcare Provider Details

I. General information

NPI: 1801289319
Provider Name (Legal Business Name): KAREN ZEMPLENYI DDS, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2015
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12330 120TH AVE NE
KIRKLAND WA
98034-6926
US

IV. Provider business mailing address

12330 120TH AVE NE
KIRKLAND WA
98034-6926
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-7979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberMD61157248
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberMDRE.ML.60875753
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number60555334
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD61157248
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDE61002648
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: