Provider Demographics
NPI:1487705836
Name:KARMANN, RICHARD B (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:KARMANN
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 1:650 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2644
Mailing Address - Country:US
Mailing Address - Phone:201-435-2446
Mailing Address - Fax:201-435-2446
Practice Address - Street 1:650 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2644
Practice Address - Country:US
Practice Address - Phone:201-435-2446
Practice Address - Fax:201-435-2446
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1010484001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1083503Medicaid