Provider Demographics
NPI:1932532140
Name:KARRER, SANDRA DEE (RDHAP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DEE
Last Name:KARRER
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 PINE ST STE 222
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-7252
Mailing Address - Country:US
Mailing Address - Phone:805-835-6289
Mailing Address - Fax:
Practice Address - Street 1:1244 PINE ST STE 222
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-7252
Practice Address - Country:US
Practice Address - Phone:805-835-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1112124Q00000X, 125K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes125K00000XDental ProvidersAdvanced Practice Dental Therapist
No124Q00000XDental ProvidersDental Hygienist