Provider Demographics
NPI:1508061797
Name:KRAHLING, JEFFREY C (DDS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:C
Last Name:KRAHLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 W BALTIMORE ST
Mailing Address - Street 2:DENTISTRY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1510
Mailing Address - Country:US
Mailing Address - Phone:410-706-3964
Mailing Address - Fax:410-706-0891
Practice Address - Street 1:12 CURTIS ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-5900
Practice Address - Country:US
Practice Address - Phone:203-238-1288
Practice Address - Fax:203-237-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0103951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice