Provider Demographics
NPI:1194807453
Name:ANDERSON, KAREN QUICK (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:QUICK
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 N CHARLES ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1047
Mailing Address - Country:US
Mailing Address - Phone:410-377-0677
Mailing Address - Fax:410-377-0622
Practice Address - Street 1:6301 N CHARLES ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1047
Practice Address - Country:US
Practice Address - Phone:410-377-0677
Practice Address - Fax:410-377-0622
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD75421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice