Provider Demographics
NPI:1598250938
Name:TAJEDDINI, KARL ASHKAN (DMD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:ASHKAN
Last Name:TAJEDDINI
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 1:530 NEW WAVERLY PL STE 302
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7414
Mailing Address - Country:US
Mailing Address - Phone:919-866-3200
Mailing Address - Fax:919-854-4866
Practice Address - Street 1:530 NEW WAVERLY PL STE 302
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-866-3200
Practice Address - Fax:919-854-4866
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice