Provider Demographics
NPI:1083743306
Name:KLINGNER, ADOLPH FRANK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADOLPH
Middle Name:FRANK
Last Name:KLINGNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N JUNIATA ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-1901
Mailing Address - Country:US
Mailing Address - Phone:814-695-2165
Mailing Address - Fax:814-696-0220
Practice Address - Street 1:25 N JUNIATA ST
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1901
Practice Address - Country:US
Practice Address - Phone:814-695-2165
Practice Address - Fax:814-696-0220
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018256L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice