Provider Demographics
NPI:1265752786
Name:URNISE, KAREN ELISABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELISABETH
Last Name:URNISE
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 1:51241 HIGHWAY 6
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-2588
Mailing Address - Country:US
Mailing Address - Phone:970-945-2313
Mailing Address - Fax:
Practice Address - Street 1:120 MIDLAND AVE UNIT 220
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-9800
Practice Address - Country:US
Practice Address - Phone:970-945-2313
Practice Address - Fax:970-945-5505
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10600122300000X
MO2010016172122300000X
WADE 60196683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist