Provider Demographics
NPI:1548478886
Name:KARAPETIAN, OGANES (DDS)
Entity type:Individual
Prefix:DR
First Name:OGANES
Middle Name:
Last Name:KARAPETIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N GLENDALE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4735
Mailing Address - Country:US
Mailing Address - Phone:818-287-4140
Mailing Address - Fax:818-671-2229
Practice Address - Street 1:14050 CHERRY AVE STE A
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-8312
Practice Address - Country:US
Practice Address - Phone:909-822-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55671122300000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist