Provider Demographics
NPI:1275708174
Name:KLINGES, J F (DMD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:F
Last Name:KLINGES
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 1:270 LANCASTER AVE
Mailing Address - Street 2:SUITE I-2
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1858
Mailing Address - Country:US
Mailing Address - Phone:610-296-3300
Mailing Address - Fax:610-296-3271
Practice Address - Street 1:270 LANCASTER AVE
Practice Address - Street 2:SUITE I-2
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1858
Practice Address - Country:US
Practice Address - Phone:610-296-3300
Practice Address - Fax:610-296-3271
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025453L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice