Provider Demographics
NPI:1598839664
Name:KLENA-CHARNEY, ANNE CATHERINE (DMD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CATHERINE
Last Name:KLENA-CHARNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3219
Mailing Address - Country:US
Mailing Address - Phone:814-266-9535
Mailing Address - Fax:
Practice Address - Street 1:241 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3219
Practice Address - Country:US
Practice Address - Phone:814-266-9535
Practice Address - Fax:814-266-9305
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028999L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice