MEDICARE: DAVID KARWACKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901021329	MI
2	1223E0200X	Endodontics	2901021329	MI

General Provider Information

NPI Number	:	1265847339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KARWACKI DDS

Provider Business Mailing Address
First Line	:	1442 S MAIN ST
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3249
Country	:	US
Telephone Number	:	248-568-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	2335 PONTIAC LAKE RD STE D
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48328-2761
Country	:	US
Telephone Number	:	248-683-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	07/30/2024

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Directions to “ DAVID KARWACKI DDS” Practice Location

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