MEDICARE: JEFFREY KARP 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	1223P0221X	Pediatric Dentistry	051767	NY
2	1223P0221X	Pediatric Dentistry	FF50	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750499117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY KARP D.M.D.

Provider Business Mailing Address
First Line	:	701 25TH AVE S
Second Line	:	SUITE 400
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1443
Country	:	US
Telephone Number	:	612-659-4910
Fax Number	:	612-659-4901

Provider Business Practice Location Address
First Line	:	701 25TH AVE S
Second Line	:	SUITE 400
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1443
Country	:	US
Telephone Number	:	612-659-4910
Fax Number	:	612-659-4901

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

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	07/17/2012

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