Provider Demographics
NPI:1497486435
Name:KALMAN KNIZNER, DDS, PC
Entity Type:Organization
Organization Name:KALMAN KNIZNER, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KALMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNIZNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-250-0400
Mailing Address - Street 1:5529 RICHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-2242
Mailing Address - Country:US
Mailing Address - Phone:810-250-0400
Mailing Address - Fax:810-250-0488
Practice Address - Street 1:5529 RICHFIELD RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-2242
Practice Address - Country:US
Practice Address - Phone:810-250-0400
Practice Address - Fax:810-250-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty