Provider Demographics
NPI:1972810984
Name:KARREL, JUSTIN P (DMD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:P
Last Name:KARREL
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:PO BOX 1599
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04402-1599
Mailing Address - Country:US
Mailing Address - Phone:978-875-1081
Mailing Address - Fax:207-947-0435
Practice Address - Street 1:989 NY-146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-240-1404
Practice Address - Fax:207-947-0435
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061255122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist