Provider Demographics
NPI:1861700932
Name:KARSKI, MATTHEW WALTER (DMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WALTER
Last Name:KARSKI
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 1:2539 WILMINGTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1653
Mailing Address - Country:US
Mailing Address - Phone:724-944-0010
Mailing Address - Fax:
Practice Address - Street 1:2539 WILMINGTON RD STE A
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1653
Practice Address - Country:US
Practice Address - Phone:724-944-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADX038451122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No122300000XDental ProvidersDentist