MR. GEVORK DAVID KARAMANUKYAN SR.


Address: 1877 E Washington Blvd, Pasadena, CA 91104-1648
Phone: 6267917474

MR. GEVORK DAVID KARAMANUKYAN SR. (NPI# 1366578890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366578890
Entity Type Individual
Full Name MR. GEVORK DAVID KARAMANUKYAN SR.
Credential DDS GENERAL DENTIST
Practice Address 1877 E Washington Blvd
Pasadena
CA 91104-1648
Practice Telephone 6267917474
Practice Fax Number 6267917478
Mailing Telephone 6267917474
Mailing Fax Number 6267917478
Enumeration Date 2007-02-26
Last Update Date 2014-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
33205 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 33205 05

Office Location

Street Address 1877 E WASHINGTON BLVD
City PASADENA
State CA
Zip Code 91104-1648

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

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Competitor

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City PASADENA
Zip Code 91104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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