Provider Demographics
NPI:1073655577
Name:KARP, STEPHEN WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:KARP
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 1:5400 BALBOA BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91346-5217
Mailing Address - Country:US
Mailing Address - Phone:818-986-7470
Mailing Address - Fax:818-990-6012
Practice Address - Street 1:ENCINO MEDICAL PLAZA 5400 BALBOA BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-5217
Practice Address - Country:US
Practice Address - Phone:818-986-7470
Practice Address - Fax:818-990-6012
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25267122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist