Provider Demographics
NPI:1366180457
Name:KARIA, ASHISH (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:
Last Name:KARIA
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 1:711 MANSFIELD CT
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-4400
Mailing Address - Country:US
Mailing Address - Phone:570-604-7021
Mailing Address - Fax:
Practice Address - Street 1:2964 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60051-5409
Practice Address - Country:US
Practice Address - Phone:815-363-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.033614122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist