Provider Demographics
NPI:1790120236
Name:KLINE, CURTIS B (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:B
Last Name:KLINE
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 1:702 W SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1623
Mailing Address - Country:US
Mailing Address - Phone:419-678-3170
Mailing Address - Fax:
Practice Address - Street 1:702 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1623
Practice Address - Country:US
Practice Address - Phone:419-678-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20409122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist