MEDICARE: DR. KARL ERIK KRAUSE D.M.D.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS036450	PA

General Provider Information

NPI Number	:	1548330988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL ERIK KRAUSE D.M.D.

Provider Business Mailing Address
First Line	:	4059 CIRCLE CT
Second Line	:	MILFORD LANDING
City	:	MILFORD
State	:	PA
Zip	:	18337-9307
Country	:	US
Telephone Number	:	570-491-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1095 TEXAS PALMYRA HWY STE M
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-7687
Country	:	US
Telephone Number	:	570-253-4000
Fax Number	:

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/26/2024

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