Provider Demographics
NPI:1437372968
Name:KARN, BRIAN R (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:R
Last Name:KARN
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 1:9406 W LAKE MEAD BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8331
Mailing Address - Country:US
Mailing Address - Phone:702-331-9966
Mailing Address - Fax:702-912-5858
Practice Address - Street 1:9406 W LAKE MEAD BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134
Practice Address - Country:US
Practice Address - Phone:702-331-9966
Practice Address - Fax:702-912-5858
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice