Provider Demographics
NPI:1578976841
Name:KLEIN DENTAL ASSOCIATES PC
Entity Type:Organization
Organization Name:KLEIN DENTAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-822-0294
Mailing Address - Street 1:2 BARLO CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1630
Mailing Address - Country:US
Mailing Address - Phone:717-432-9762
Mailing Address - Fax:
Practice Address - Street 1:2 BARLO CIR
Practice Address - Street 2:SUITE A
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1630
Practice Address - Country:US
Practice Address - Phone:717-432-9762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty