Provider Demographics
NPI:1689401978
Name:KARMA DENTAL LLC
Entity type:Organization
Organization Name:KARMA DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KETAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GINOYA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-510-7053
Mailing Address - Street 1:4511 CHAMBLEE DUNWOODY RD STE A2
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6243
Mailing Address - Country:US
Mailing Address - Phone:404-806-9799
Mailing Address - Fax:
Practice Address - Street 1:4511 CHAMBLEE DUNWOODY RD STE A2
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6243
Practice Address - Country:US
Practice Address - Phone:404-806-9799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty