Provider Demographics
NPI:1447466925
Name:COTTINGHAM, KAREN LOCKE (DMD,MSD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LOCKE
Last Name:COTTINGHAM
Suffix:
Gender:F
Credentials:DMD,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2604
Mailing Address - Country:US
Mailing Address - Phone:317-299-0576
Mailing Address - Fax:317-290-3507
Practice Address - Street 1:3916 SHORE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2604
Practice Address - Country:US
Practice Address - Phone:317-299-0576
Practice Address - Fax:317-290-3507
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010109A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics