Provider Demographics
NPI:1336141944
Name:KLEIN, MICHAEL STANLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STANLEY
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8631 W 150TH ST
Mailing Address - Street 2:#102
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2974
Mailing Address - Country:US
Mailing Address - Phone:913-681-8138
Mailing Address - Fax:913-681-9693
Practice Address - Street 1:8631 W 150TH ST
Practice Address - Street 2:#102
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2974
Practice Address - Country:US
Practice Address - Phone:913-681-8138
Practice Address - Fax:913-681-9693
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS62541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics