Provider Demographics
NPI:1689886897
Name:KILIC, A. E (DDS)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:E
Last Name:KILIC
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 1:225 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8866
Mailing Address - Country:US
Mailing Address - Phone:412-373-7044
Mailing Address - Fax:724-468-5333
Practice Address - Street 1:225 LAKE DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8866
Practice Address - Country:US
Practice Address - Phone:412-373-7044
Practice Address - Fax:724-468-5333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018860L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist