Provider Demographics
NPI:1144518986
Name:KARSKI DENTAL LLC
Entity type:Organization
Organization Name:KARSKI DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:KARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-654-8788
Mailing Address - Street 1:2529 WILMINGTON RD SUITE A
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1636
Mailing Address - Country:US
Mailing Address - Phone:724-654-8788
Mailing Address - Fax:724-654-8769
Practice Address - Street 1:2529 WILMINGTON RD SUITE A
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1636
Practice Address - Country:US
Practice Address - Phone:724-654-8788
Practice Address - Fax:724-654-8769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0384511223G0001X
PADS02126OL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty