Provider Demographics
NPI:1437338183
Name:DANIEL G. KLINE, DDS, PC
Entity Type:Organization
Organization Name:DANIEL G. KLINE, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-899-5240
Mailing Address - Street 1:2470 W RAY RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3557
Mailing Address - Country:US
Mailing Address - Phone:480-899-5240
Mailing Address - Fax:
Practice Address - Street 1:2470 W RAY RD
Practice Address - Street 2:SUITE #1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3557
Practice Address - Country:US
Practice Address - Phone:480-899-5240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2394122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty