Provider Demographics
NPI:1548330988
Name:KRAUSE, KARL ERIK (DMD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:ERIK
Last Name:KRAUSE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4059 CIRCLE CT
Mailing Address - Street 2:MILFORD LANDING
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9307
Mailing Address - Country:US
Mailing Address - Phone:570-491-5088
Mailing Address - Fax:
Practice Address - Street 1:1095 TEXAS PALMYRA HWY STE M
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-7687
Practice Address - Country:US
Practice Address - Phone:570-253-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0364501223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery