Provider Demographics
NPI:1144201898
Name:KLEIMAN, ANDREW IRA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:IRA
Last Name:KLEIMAN
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 1:88 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2427
Mailing Address - Country:US
Mailing Address - Phone:732-388-7933
Mailing Address - Fax:732-340-9669
Practice Address - Street 1:88 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2427
Practice Address - Country:US
Practice Address - Phone:732-388-7933
Practice Address - Fax:732-340-9669
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI014038001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice