Provider Demographics
NPI:1871596528
Name:KARLOWICZ, JAMES A (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:KARLOWICZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 PARKDALE DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-1115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 S REEVES AVE
Practice Address - Street 2:STE A
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2162
Practice Address - Country:US
Practice Address - Phone:330-364-5288
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH153621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0522394Medicaid