Provider Demographics
NPI:1033492244
Name:KIEHL, CLAIRE ANNA (D D S)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ANNA
Last Name:KIEHL
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1ST ADVANTAGE DENTAL
Mailing Address - Street 2:PO BOX 4382
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-0382
Mailing Address - Country:US
Mailing Address - Phone:518-798-9561
Mailing Address - Fax:518-798-6205
Practice Address - Street 1:1ST ADVANTAGE DENTAL
Practice Address - Street 2:1092 ROUTE 9
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-0382
Practice Address - Country:US
Practice Address - Phone:518-798-9561
Practice Address - Fax:518-798-6205
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist