Provider Demographics
NPI:1215062351
Name:KARPOVICH, PAUL WILLIAM (DDS)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:WILLIAM
Last Name:KARPOVICH
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:ONE TEXAS STATION COURT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-8287
Mailing Address - Country:US
Mailing Address - Phone:410-628-6070
Mailing Address - Fax:410-628-6067
Practice Address - Street 1:ONE TEXAS STATION COURT
Practice Address - Street 2:SUITE 110
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-8287
Practice Address - Country:US
Practice Address - Phone:410-628-6070
Practice Address - Fax:410-628-6067
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10452122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist