Karmen Elisabeth Ancar, DMD
Individual provider Active NPI General Practice Dentistry · College Park, GA
NPI 1104671189 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1104671189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN123853 (GA)
- Practice address
- 3841 Main St
College Park, GA 30337-3655 - Phone
- (678) 094-6775
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123853 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at Houston | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123853 | GA | Yes |
Addresses
Primary practice location
3841 Main St
College Park, GA 30337-3655
Mailing address
3841 Main St
College Park, GA 30337-3655
Phone (678) 094-6775
Other providers in College Park, GA
- Amarachukwu Akujieze
- All Things Go Logistics
- Allied Health Services Georgia
- Allstar Physical Therapy
- Amicable Homecare LLC
- Alvin Donnell Anderson Sr.
- Henry Harrison Anderson IV
- Andrew J Newsome DDS, PC
- Lisa Andrews
- Angels on Assignemnts
All providers in College Park, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.